FDA Adverse Event
Malfunction
Summary report: N
QUANTUM ROLLER PUMP - 6"
MDR report key: 24579267
·
Received March 12, 2026
Report
- Report Number
- 3006073153-2026-00076
- Event Type
- Malfunction
- Date Received
- March 12, 2026
- Date of Event
- July 16, 2024
- Report Date
- March 12, 2026
- Manufacturer
- SPECTRUM MEDICAL LTD
- Product Code
- DTQ
- UDI-DI
- 05060434420787
- PMA / PMN Number
- K173834
- Removal / Correction Number
- Z-0224-2025
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
PAWL, RATCHET AND SPRING KIT WAS REPLACED. THIS EVENT WAS ORIGINALLY REPORTED IN A SUMMARY REPORT 3006073153-2025-00059, WHICH WAS SUBMITTED IN RELATION TO THE AFFECTED DEVICES FROM THE VOLUNTARY RECALLED PERFORMED BY SPECTRUM MEDICAL LTD (RECALL NUMBER Z-0224-2025). FDA HAS SINCE REQUESTED THAT EACH EVENT FOR THE DEVICES RELATED TO THE VOLUNTARY RECALL BE INDIVIDUALLY SUBMITTED, RESULTING IN THE CREATION AND SUBMISSION OF THIS REPORT.
Description of Event or Problem · 0
SERVICE ENGINEER COMPLETED A PAWL & RATCHET REPLACEMENT. THERE WAS NO PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 122447 | QUANTUM ROLLER PUMP - 6" | ROLLER PUMP | DTQ | SPECTRUM MEDICAL LTD | QRP6 | 05060434420787 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |