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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 Communication or Transmission Problem (2896)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/02/2026
Type of Reportable Event Malfunction
Event or Problem Description
During a fractional flow reserve procedure with quantien, it was noted that the pa signals were not appearing on the monitor leading to the procedure being cancelled.There were no adverse patient consequences.
 
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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 north
plymouth, MN 55442
+1(651)756-5400
MDR Report Key50952342
Report Number2184149-2026-00257
Device Sequence Number9552251
Product Code DQK
UDI-Device Identifier05415067000996
UDI-Public(01)05415067000996(10)7297795
Combination Product (Y/N)N
Initial Reporter CountryBR
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 09/30/2026
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 Number7297795
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 09/02/2026
Initial Report FDA Received Date09/30/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/10/2019
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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