FDA Adverse Event
Injury
Summary report: N
QUANTUM HEATER COOLER
MDR report key: 23245028
·
Received October 8, 2025
Report
- Report Number
- MW5177006
- Event Type
- Injury
- Date Received
- October 8, 2025
- Date of Event
- September 22, 2025
- Report Date
- October 3, 2025
- Manufacturer
- SPECTRUM MEDICAL, INC.
- Product Code
- DWC
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
DURING CARDIOPULMONARY BYPASS, THE STANDARD HEAT EXCHANGER ON THE PATIENT CIRCUIT HAD GONE DARK, LIKELY INDICATING A BLOOD TO GLYCOL LEAK. WE DEPRIMED THE HEAT EXCHANGER TO PREVENT OR REDUCE THE RISK OF THE LEAK REVERSING TO GLYCOL TO BLOOD. THE PATIENT RECEIVED FOMEPIZOLE AS A PREVENTATIVE TREATMENT. TO NOTE: THE EXCHANGER HAD STARTED REWARMING FROM 32 C TO 37 C ABOUT 15 MINUTES BEFORE THE COLOR CHANGE IN THE HEAT EXCHANGER WAS NOTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2513236 | QUANTUM HEATER COOLER | CONTROLLER, TEMPERATURE, CARDIOPULMONARY BYPASS | DWC | SPECTRUM MEDICAL, INC. | H000059 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Other| R |