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