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