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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL QUANTIEN; Computer, diagnostic, programmable

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ABBOTT MEDICAL QUANTIEN; Computer, diagnostic, programmable Back to Search Results
Model Number C12787
Medical Device Problem Code Computer Software Problem (1112)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/21/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The results of the investigation are inconclusive since the device was not returned for analysis.Based on the information received, the cause of the reported incident could not be determined.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed.No non-conformances associated with the reported event were identified.
 
Event or Problem Description
During an ffr procedure, when attempting to log into the quantien system, it was noted that the system had displayed the error message "failed to authenticate".An attempt was made to log in via the admin and service accounts, but the issue persisted.Since the issue was not resolved, the case was abandoned.There were no adverse consequences to the patient.
 
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Brand Name
QUANTIEN
Common Device Name
Computer, diagnostic, programmable
Manufacturer (Section D)
ABBOTT MEDICAL
one st. jude medical drive
st. paul MN 55117
Manufacturer (Section G)
ABBOTT MEDICAL
one st. jude medical drive
st. paul MN 55117
Manufacturer Contact
wendy mccarty
5050 nathan lane n
plymouth, MN 55442
6517565400
MDR Report Key24132936
Report Number2184149-2026-00013
Device Sequence Number21418579
Product Code DQK
UDI-Device Identifier05415067000996
UDI-Public(01)05415067000996(10)7164333
Combination Product (Y/N)N
Initial Reporter CountryKS
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 01/21/2026
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 NumberC12787
Device Catalogue NumberC12787
Device Lot Number7164333
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/29/2025
Initial Report FDA Received Date01/21/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/10/2019
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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