PERFUSION REPORTS

REPORT

014

DATE

TITLE

Gas Blender Flow Control Immobilised

DETAILS OF INCIDENT

Gas blender flow control knob jammed no flow of gas possible. Perfusionist dis-assembled the knob and could manipulate the flow with a tubing clamp. Having been serviced this subsequently occurred a second time on the device which was only 6 months old. Device returned to manufacturer for a full overhaul and is back in service.

DETAILS OF INJURY TO PATIENT

None

TYPE OF DEVICE/MANUFACTURER

N/A

ACTION TAKEN

Device returned to manufacturer for overhaul. All perfusionists alerted how to avoid and dis-assemble this device if event re-occurs. Other methods of gas supply are currently available in operating room.

RESPONSE FROM MANUFACTURER

N/A

ADDTIONAL INFORMATION

N/A

SUPPORTING VISUALS/VIDEO

N/A

SUPPORTING DOCUMENT

OTHER PERFUSION
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

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

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

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

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

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

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

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REPORT NO

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

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

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

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REPORT NO

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

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

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

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

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

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

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

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

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

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