PERFUSION REPORTS

REPORT
025
DATE
TITLE
Sorin EOS Gas To Blood Leak Whilst Priming
DETAILS OF INCIDENT

Once the pump was primed and left circulating in theatre, it was noticed that there were bubbles in the prime. Gas was leaking from the gas phase into the blood phase from the bottom of the oxygenator module (Sorin EOS). The pump and oxygenator were removed from theatre and swapped out for a new one.

DETAILS OF INJURY TO PATIENT

None

TYPE OF DEVICE/MANUFACTURER

N/A

ACTION TAKEN

Pump/oxy swapped out, device returned to manufacturer for investigation.

RESPONSE FROM MANUFACTURER

N/A

ADDTIONAL INFORMATION

N/A

SUPPORTING VISUALS/VIDEO

N/A

SUPPORTING DOCUMENT

OTHER PERFUSION
 REPORTS

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REPORT NO
002
1/1/10
Luer Cap Found In Venous Inlet Port
REPORT NO
001
1/1/09
Oxygenator Water To Blood Leak
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