QUANTUM WORK STATION
Report
- Report Number
- 3006073153-2026-00037
- Event Type
- Malfunction
- Date Received
- February 27, 2026
- Date of Event
- January 22, 2026
- Report Date
- February 27, 2026
- Manufacturer
- SPECTRUM MEDICAL LTD.
- Product Code
- DRY
- UDI-DI
- 05060434422293
- PMA / PMN Number
- K163657
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THE QWS WAS INSPECTED AFTER THE CASE, BUT THE SPECIFIC SOFTWARE/TOUCHSCREEN GLITCH COULD NOT BE REPRODUCED. DEVICE TO BE INVESTIGATED ON RETURN TO HQ.
DURING REDUCTION OF CPB FLOW TO 1.0 LPM FOR CROSS-CLAMP REMOVAL, THE TOUCHSCREEN FAILED TO RESPOND WHILE DEACTIVATING THE CROSS-CLAMP TIMER. INITIATION MODE WAS INADVERTENTLY ACTIVATED. THE ARTERIAL FLOW CONTROL DIAL DISPLAY SWITCHED TO "VENOUS OCCLUDER," AND ARTERIAL FLOW REMAINED BELOW 1.0 LPM WITH THE CLAMP BEING OPEN. ATTEMPTS TO DEACTIVATE "INITIATION MODE" WERE UNSUCCESSFUL. THE CIRCUIT WAS MANUALLY CLAMPED, THE SURGICAL TEAM WAS NOTIFIED, AND THE CP37 PUMP HEAD WAS PLACED ON EMERGENCY HAND-CRANK TO RESTORE FLOW AND MAP. IN A FINAL ATTEMPT, INITIATION MODE WAS DEACTIVATED SUCCESSFULLY, THE PUMP RETURNED TO EXTERNAL DRIVE, AND THE PATIENT WAS SUCCESSFULLY WEANED FROM CPB. THE QWS WAS INSPECTED AFTER THE CASE, BUT THE SPECIFIC SOFTWARE/TOUCHSCREEN GLITCH COULD NOT BE REPRODUCED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 530972 | QUANTUM WORK STATION | EXTRACORPOREAL BLOOD GAS/PH MONITOR | DRY | SPECTRUM MEDICAL LTD. | QWS15 | 05060434422293 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |