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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SPECTRUM MEDICAL QUANTUM VENTILATION MODULE; GAS CONTROL UNIT

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SPECTRUM MEDICAL QUANTUM VENTILATION MODULE; GAS CONTROL UNIT Back to Search Results
Model Number QVM2-N-HM
Medical Device Problem Code Under-Sensing (1661)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/14/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
On return, the device was inspected internally and externally.There was clear evidence of liquid ingress within the mass flow controller of the device.
 
Event or Problem Description
User reported that the their fec02 reading appeared to be under reading significantly compared to the other systems that were in operation at the time.No errors seen during the case in the alerts tab.There are two moisture traps.No leaks in the wag line and system was observed and troubleshooted by a clinical specialist.There was no patient harm as a result of this suspected malfunction.
 
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Brand Name
QUANTUM VENTILATION MODULE
Common Device Name
GAS CONTROL UNIT
Manufacturer (Section D)
SPECTRUM MEDICAL
ashville business park
commerce road
gloucester, gloucestershire GL2 9 SL
UK  GL2 9SL
Manufacturer (Section G)
SPECTRUM MEDICAL
ashville business park
commerce road
gloucester, gloucestershire GL2 9 SL
UK   GL2 9SL
Manufacturer Contact
edward blogg
ashville business park
commerce road
gloucester, gloucestershire GL2 9-SL
UK   GL2 9SL
MDR Report Key22296728
Report Number3006073153-2025-00149
Device Sequence Number12841878
Product Code DTX
UDI-Device Identifier05060434422064
UDI-Public05060434422064
Combination Product (Y/N)N
Initial Reporter CountryUK
PMA/510(K) Number
K202733
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 06/19/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberQVM2-N-HM
Device Catalogue Number51-000081-00
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer05/12/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/22/2025
Initial Report FDA Received Date06/20/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/19/2025
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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