PERFUSION REPORTS

REPORT
027
DATE
TITLE
Paragon Oxygenator Gas Inlet Leak
DETAILS OF INCIDENT

After 2 days on ECMO, the paragon oxygenator started to leak gas from around the oxygenator gas inlet top plate.

DETAILS OF INJURY TO PATIENT

This showed as reduced patient SaO2 and poor post oxygenator blood gases.

TYPE OF DEVICE/MANUFACTURER

N/A

ACTION TAKEN

This is the second such leak in 2 weeks, same batch number. All other products with this batch number has been removed from stock and quarantined for collection by manufacturer.

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
003
1/2/10
Difficulties In Visualising Blender Reading
REPORT NO
002
1/1/10
Luer Cap Found In Venous Inlet Port
REPORT NO
001
1/1/09
Oxygenator Water To Blood Leak
Perfusion Report cards are shown in batches of 30 at any one time where available.
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