PERFUSION REPORTS

REPORT
041
DATE
1/2/2019
TITLE
Custodial Rubber Fragmentation In Spiked Bag
DETAILS OF INCIDENT

It was noted that a particle of rubber fragmented from the fluid spike port of the bags, when spiked for use. The rubber fragmentation had been noted on two separate occasions with 2 different batch numbers.

DETAILS OF INJURY TO PATIENT

N/A

TYPE OF DEVICE/MANUFACTURER

Custodial

ACTION TAKEN

The fluid bags were replaced and send back to the supplier for investigation.

RESPONSE FROM MANUFACTURER

N/A

ADDTIONAL INFORMATION

N/A

SUPPORTING VISUALS/VIDEO

N/A

SUPPORTING DOCUMENT

OTHER PERFUSION
 REPORTS

London Core Review Cardiothoracic Surgery Course - Touch icon
London Core Review Cardiothoracic Surgery Course - Help Guide
Select and scroll to view chosen report
REPORT NO
062
1/8/20
Human Factors Issue
REPORT NO
061
1/8/20
LIVA NOVA RESPONSE TO REPORTED CENTRIFUGAL HEAD ISSUE
REPORT NO
060
1/8/20
Oxygenator Fibre Leak
REPORT NO
059
1/5/20
Failure to remove CO2 effectively
REPORT NO
058
1/7/20
Centrifugal Head Issue 3
REPORT NO
057
1/6/20
Centrifugal Head Issue 2
REPORT NO
056
1/1/20
Centrifugal Head Issue
REPORT NO
055
1/2/20
Faulty Pressure Relief Valves
REPORT NO
054
1/4/20
Leaking ALF
REPORT NO
053
1/2/20
Arterial Line Filter Leak
REPORT NO
052
1/3/19
Gas Line Filter Issue
REPORT NO
051
1/12/19
Dual Lumen Cannula Movement
REPORT NO
050
1/10/19
Venous Cannula Damaged
REPORT NO
049
1/12/19
Oxygenation Issue
REPORT NO
048
1/8/19
Roller Pump Failure
REPORT NO
047
1/12/19
Broken Cannula Dilator
REPORT NO
046
6/12/19
Gas Blender Error
REPORT NO
045
20/11/19
Tubing Detachments
REPORT NO
044
27/11/19
Interruption to IABP counterpulsation
REPORT NO
043
1/7/19
Getinge Mal-Position Of IABP Catheter
REPORT NO
042
1/2/19
Avalon Dual Lumen Cannula Crack
REPORT NO
041
1/2/19
Custodial Rubber Fragmentation In Spiked Bag
REPORT NO
040
1/10/18
Reservoir Clot
REPORT NO
039
1/10/18
Pall Clot In Cardioplegia Circuit
REPORT NO
038
1/10/18
Maquet HL20 Cardioplegia Pump Error
REPORT NO
037
1/10/17
Temed D200 Haemoconcentrator Clot
REPORT NO
036
1/10/17
Oxygenator issue
REPORT NO
035
1/10/17
Medtronic Fusion Oxygenator Blood To Gas Leak
REPORT NO
034
Possible Medtronic Fusion Oxygenator Failure
REPORT NO
033
Fannin Heparin Ampules Shattering
Perfusion Report cards are shown in batches of 30 at any one time where available.
123
122
121
120
119
118
117
116
115
114
112
111
110
109
108
107
106
105
104
103
102
101
100
099
098
097
096
095
094
093
092
091
090
089
088
087
086
085
084
083
082
081
080
079
078
077
076
075
074
073
072
071
070
069
068
067
066
065
064
063
062
061
060
059
058
057
056
055
054
053
052
051
050
049
048
047
046
045
044
043
042
041
040
039
038
037
036
035
034
033
032
031
030
029
028
027
026
025
024
023
London Core Review Cardiothoracic Surgery Course - Touch icon
London Core Review Cardiothoracic Surgery Course - Help Guide
Know the report number? Scroll horizontally through the circle icons and select to view the appropriate report.