| Brand Name | Quantum Flow Sensor |
| 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 | 25635079 |
| Report Number | 3006073153-2026-00159 |
| Device Sequence Number | 21222958 |
| Product Code |
DRY
|
| UDI-Device Identifier | 05060434421982 |
| UDI-Public | 05060434421982 |
| Combination Product (Y/N) | N |
| Initial Reporter State | MO |
| Initial Reporter Country | US |
| PMA/510(K) Number | K173591 |
| 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 |
| Report Date (Section B) |
07/24/2026 |
| 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 Number | QFS2-ST-075 |
| Device Catalogue Number | 51-000076-00 |
| Device Lot Number | FS2001083 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 06/15/2026 |
| 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 | 05/26/2026 |
| Supplement Date Received by Manufacturer | 05/26/2026
|
| Initial Report FDA Received Date | 06/26/2026 |
| Supplement Report FDA Received Date | 07/27/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 08/09/2024 |
| 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 |
|
|