FDA Adverse Event
Injury
Summary report: N
QUANTUM PUREFLOW STANDARD HEAT EXCHANGER HIGH FLOW 3/8
MDR report key: 23825787
·
Received December 17, 2025
Report
- Report Number
- 3016746283-2025-00025
- Event Type
- Injury
- Date Received
- December 17, 2025
- Date of Event
- December 12, 2025
- Report Date
- May 11, 2026
- Manufacturer
- SPECTRUM MEDICAL S.R.L.
- Product Code
- DTR
- UDI-DI
- 08051160300501
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
REFER TO QHCX0561_INVESTIGATION_RMD_PRELIMINARY FOR PARTIAL CONCLUSIONS.
Additional Manufacturer Narrative · 0
ADDITIONAL INFORMATION RELATED TO THE EVENT WILL BE AVAILABLE AFTER COMPLETION OF INVESTIGATION ACTIVITIES, WHICH WOULD BE ADDRESSED IN A FOLLOW-UP REPORT.
Description of Event or Problem · 0
USER REPORTED THAT GLYCOL SLIGHTLY CHANGED ITS COLOR AFTER FINISHING THE BYPASS, SUSPECTING BLOOD LEAKAGE. NO HARM OCCURRED FOR THE PATIENT.
Description of Event or Problem · 0
USER REPORTED THAT GLYCOL SLIGHTLY CHANGED ITS COLOR AFTER FINISHING THE BYPASS, SUSPECTING BLOOD LEAKAGE. NO HARM OCCURRED FOR THE PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 46877 | QUANTUM PUREFLOW STANDARD HEAT EXCHANGER HIGH FLOW 3/8 | STANDARD HEAT EXCHANGER | DTR | SPECTRUM MEDICAL S.R.L. | HX55V-S0 | G002192 | 08051160300501 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |