MAUDE Adverse Event Report: SPECTRUM MEDICAL LTD QUANTUM WORKSTATION 12" ELITE; MONITOR, BLOOD-GAS, ON-LINE, CARDIOPULMONARY BYPASS

Model Number	QWS12E
Medical Device Problem Code	Failure to Pump (1502)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	06/26/2025
Type of Reportable Event	Malfunction
Event or Problem Description
User reported that a pump error occurred causing pump to be inoperable in the circuit.Additional clinical intervention was required to exchange the circuit.
Additional Manufacturer Narrative
Event was determined to be reportable; however, the root cause determination is pending the results of the investigation.
Event or Problem Description
User reported that a pump error occurred causing pump to be inoperable in the circuit.Additional clinical intervention was required to exchange the circuit.
Additional Manufacturer Narrative
Event was determined to be reportable; however, the root cause determination is pending the results of the investigation.Follow-up: investigation pending device return.
Additional Manufacturer Narrative
Event was determined to be reportable; however, the root cause determination is pending the results of the investigation.Follow-up: investigation pending device return.Follow-up 2: investigation pending device return.
Event or Problem Description
User reported that a pump error occurred causing pump to be inoperable in the circuit.Additional clinical intervention was required to exchange the circuit.
Additional Manufacturer Narrative
Event was determined to be caused by another device and be unrelated to the subject device.
Event or Problem Description
User reported that a pump error occurred causing pump to be inoperable in the circuit.Additional clinical intervention was required to exchange the circuit.

• Brand Name: QUANTUM WORKSTATION 12" ELITE
• Common Device Name: MONITOR, BLOOD-GAS, ON-LINE, CARDIOPULMONARY BYPASS
• Manufacturer (Section D): SPECTRUM MEDICAL LTD; ashville business park; commerce road; gloucester, gloucestershire GL2 9 SL; UK GL2 9SL
• Manufacturer (Section G): SPECTRUM MEDICAL LTD; ashville business park; commerce road; gloucester, gloucestershire GL2 9 SL; UK GL2 9SL
• Manufacturer Contact: cameron schmitt ; 481 munn road; suite 180; fort mill, SC 29715
• MDR Report Key: 22588014
• Report Number: 3006073153-2025-00178
• Device Sequence Number: 9341089
• Product Code: DRY
• UDI-Device Identifier: 05060434422309
• UDI-Public: 05060434422309
• Combination Product (Y/N): N
• Initial Reporter State: CO
• Initial Reporter Country: US
• PMA/510(K) Number: K202557
• Number of Events Summarized: 1
• 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,Followup,Followup,Followup
• Report Date (Section B): 10/17/2025

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 Number: QWS12E
• Device Catalogue Number: 51-000094-00
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 06/26/2025
• Supplement Date Received by Manufacturer: 06/26/2025; 06/26/2025; 06/26/2025
• Initial Report FDA Received Date: 07/24/2025
• Supplement Report FDA Received Date: 08/22/2025; 09/19/2025; 10/17/2025
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 01/14/2025
• 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 Number: 1
• Patient Sex: Unknown