PERFUSION REPORTS

REPORT

090

DATE

1/10/2021

TITLE

Breach of chemical cleaner

DETAILS OF INCIDENT

On delivery of Halamid HCU cleaning product, it was noted that there was a strong smell from the cardboard box. On opening the box, there was chemical observed outside of the sealed containers.

One of the container lids had not been pushed onto the container until the lip engaged correctly. The loose lid allowed the powder to escape in transit.

DETAILS OF INJURY TO PATIENT

None.

TYPE OF DEVICE/MANUFACTURER

ACTION TAKEN

It was reported back to the company and internally reported.

RESPONSE FROM MANUFACTURER

n/a

ADDTIONAL INFORMATION

Highlights the importance of being aware of the hazards of chemicals in use. Attached are samples of the chemical datasheets that individuals should be aware of if using said chemicals.

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SUPPORTING VISUALS/VIDEO

SUPPORTING DOCUMENT

Picture of product

Sample Safety Data Sheet

OTHER PERFUSION
REPORTS

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REPORT NO

123



5/7/24

Hardware Fault

REPORT NO

122



5/4/24

Oxygenator Failure

REPORT NO

121



8/3/24

Disposables: Eurosets Adult ECMO Oxygenator

REPORT NO

120



1/5/24

Disposable Incident

REPORT NO

119



Hardware: HCU Contamination

REPORT NO

118



12/9/23

Human Factors: ECMO Mobilisation

REPORT NO

117



27/9/23

Disposables: Oxygenator

REPORT NO

116



14/9/23

Disposable Issue: Reservoir in CPB circuit

REPORT NO

115



13/9/23

Disposable Error

REPORT NO

114



13/7/23

Dispoables

REPORT NO

112



20/2/23

HLM Hardware Error: S5 HLM - Dual roller cardioplegia

REPORT NO

111



10/2/23

Human Factors

REPORT NO

110



31/1/23

DISPOSABLE FAULT

REPORT NO

109



19/1/23

Disposable issue

REPORT NO

108



3/1/23

Disposable issue: Oxygenator leak

REPORT NO

107



6/12/22

Hardware fault. Electronic gas Blender failure

REPORT NO

106



1/11/22

ECG Interference

REPORT NO

105



9/9/22

Issue with use of disposable

REPORT NO

104



13/6/22

Human Factors

REPORT NO

103



25/7/22

Human Factors

REPORT NO

102



7/7/22

Disposable issue

REPORT NO

101



6/4/21

Irregular blood flow/foreign looking substance in Oxygenator

REPORT NO

100



20/4/22

Gas Line Filter Fault

REPORT NO

099



20/4/22

Human Factors: BiVAD Error

REPORT NO

098



4/4/22

REPORT NO

097



19/3/22

Disposables Issue

REPORT NO

096



18/3/22

Bubbles Sensor Activation

REPORT NO

095



1/1/22

Protamine Administration

REPORT NO

094



1/11/21

Oxygenation failure upon commencement of CPB

REPORT NO

093



1/11/21

Detached bullet tip of sump-updated response Sep 2022

Perfusion Report cards are shown in batches of 30 at any one time where available.

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