Archived Perfusion Report - 042

PERFUSION REPORTS

REPORT

042

DATE

1/2/2019

TITLE

Avalon Dual Lumen Cannula Crack

DETAILS OF INCIDENT

Dual Lumen cannula positioned within the right Internal Jugular vein developed a crack at the bifurcation on the inflow side of the cannula.

DETAILS OF INJURY TO PATIENT

The patient required fluid resuscitation following blood loss.

TYPE OF DEVICE/MANUFACTURER

Avalon For Hemolung (ALung Technologies, Inc)

ACTION TAKEN

Fluid resuscitation.
Decannulation and removal from ALung.
Report sent to MHRA and device with the manufacturer.

RESPONSE FROM MANUFACTURER

N/A

ADDTIONAL INFORMATION

N/A

SUPPORTING VISUALS/VIDEO

SUPPORTING DOCUMENT

OTHER PERFUSION
REPORTS

Select and scroll to view chosen report

VIEW
REPORT

REPORT NO

123



5/7/24

Hardware Fault

VIEW
REPORT

REPORT NO

122



5/4/24

Oxygenator Failure

VIEW
REPORT

REPORT NO

121



8/3/24

Disposables: Eurosets Adult ECMO Oxygenator

VIEW
REPORT

REPORT NO

120



1/5/24

Disposable Incident

VIEW
REPORT

REPORT NO

119



Hardware: HCU Contamination

VIEW
REPORT

REPORT NO

118



12/9/23

Human Factors: ECMO Mobilisation

VIEW
REPORT

REPORT NO

117



27/9/23

Disposables: Oxygenator

VIEW
REPORT

REPORT NO

116



14/9/23

Disposable Issue: Reservoir in CPB circuit

VIEW
REPORT

REPORT NO

115



13/9/23

Disposable Error

VIEW
REPORT

REPORT NO

114



13/7/23

Dispoables

VIEW
REPORT

REPORT NO

112



20/2/23

HLM Hardware Error: S5 HLM - Dual roller cardioplegia

VIEW
REPORT

REPORT NO

111



10/2/23

Human Factors

VIEW
REPORT

REPORT NO

110



31/1/23

DISPOSABLE FAULT

VIEW
REPORT

REPORT NO

109



19/1/23

Disposable issue

VIEW
REPORT

REPORT NO

108



3/1/23

Disposable issue: Oxygenator leak

VIEW
REPORT

REPORT NO

107



6/12/22

Hardware fault. Electronic gas Blender failure

VIEW
REPORT

REPORT NO

106



1/11/22

ECG Interference

VIEW
REPORT

REPORT NO

105



9/9/22

Issue with use of disposable

VIEW
REPORT

REPORT NO

104



13/6/22

Human Factors

VIEW
REPORT

REPORT NO

103



25/7/22

Human Factors

VIEW
REPORT

REPORT NO

102



7/7/22

Disposable issue

VIEW
REPORT

REPORT NO

101



6/4/21

Irregular blood flow/foreign looking substance in Oxygenator

VIEW
REPORT

REPORT NO

100



20/4/22

Gas Line Filter Fault

VIEW
REPORT

REPORT NO

099



20/4/22

Human Factors: BiVAD Error

VIEW
REPORT

REPORT NO

098



4/4/22

VIEW
REPORT

REPORT NO

097



19/3/22

Disposables Issue

VIEW
REPORT

REPORT NO

096



18/3/22

Bubbles Sensor Activation

VIEW
REPORT

REPORT NO

095



1/1/22

Protamine Administration

VIEW
REPORT

REPORT NO

094



1/11/21

Oxygenation failure upon commencement of CPB

VIEW
REPORT

REPORT NO

093



1/11/21

Detached bullet tip of sump-updated response Sep 2022

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