PERFUSION REPORTS

REPORT

017

DATE

TITLE

Avant D903 Has A Dual Chamber Reservoir Leak

DETAILS OF INCIDENT

Avant D903 has a dual chamber reservoir, i.e., The cardiotomy reservoir can be separated from the venous reservoir. There was a leak of the priming fluid observed before going on Cardiopulmonary Bypass. There might have been a crack or not sealed enough (Inadequate Glue) where both the cardiotomy and venous chambers join.

DETAILS OF INJURY TO PATIENT

None

TYPE OF DEVICE/MANUFACTURER

N/A

ACTION TAKEN

Have informed the Surgeon, Anaesthetist about the leak and changed the entire reservoir for another one. Since it had been noticed while priming and before going on CPB no harm had been done to anyone.

RESPONSE FROM MANUFACTURER

N/A

ADDTIONAL INFORMATION

N/A

SUPPORTING VISUALS/VIDEO

N/A

SUPPORTING DOCUMENT

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