SAFETY ARCHIVE

PERFUSION REPORTS

Perfusion Reports are taken from the Safety Committee web based reporting system and after appropriate anonymising disseminated to the membership. The content should be informative and hopefully encourage similar sharing from the perfusion community. Select any of the options below to go to a dedicated perfusion reports page.

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REPORT NO
123
5/7/2024
Hardware Fault
REPORT NO
122
5/4/2024
Oxygenator Failure
REPORT NO
121
8/3/2024
Disposables: Eurosets Adult ECMO Oxygenator
REPORT NO
120
1/5/2024
Disposable Incident
REPORT NO
119
Hardware: HCU Contamination
REPORT NO
118
12/9/2023
Human Factors: ECMO Mobilisation
REPORT NO
117
27/9/2023
Disposables: Oxygenator
REPORT NO
116
14/9/2023
Disposable Issue: Reservoir in CPB circuit
REPORT NO
115
13/9/2023
Disposable Error
REPORT NO
114
13/7/2023
Dispoables
REPORT NO
112
20/2/2023
HLM Hardware Error: S5 HLM - Dual roller cardioplegia
REPORT NO
111
10/2/2023
Human Factors
REPORT NO
110
31/1/2023
DISPOSABLE FAULT
REPORT NO
109
19/1/2023
Disposable issue
REPORT NO
108
3/1/2023
Disposable issue: Oxygenator leak
REPORT NO
107
6/12/2022
Hardware fault. Electronic gas Blender failure
REPORT NO
106
1/11/2022
ECG Interference
REPORT NO
105
9/9/2022
Issue with use of disposable
REPORT NO
104
13/6/2022
Human Factors
REPORT NO
103
25/7/2022
Human Factors
REPORT NO
102
7/7/2022
Disposable issue
REPORT NO
101
6/4/2021
Irregular blood flow/foreign looking substance in Oxygenator
REPORT NO
100
20/4/2022
Gas Line Filter Fault
REPORT NO
099
20/4/2022
Human Factors: BiVAD Error
REPORT NO
098
4/4/2022
REPORT NO
097
19/3/2022
Disposables Issue
REPORT NO
096
18/3/2022
Bubbles Sensor Activation
REPORT NO
095
1/1/2022
Protamine Administration
REPORT NO
094
1/11/2021
Oxygenation failure upon commencement of CPB
REPORT NO
093
1/11/2021
Detached bullet tip of sump-updated response Sep 2022
Perfusion Report cards are shown in batches of 30 at any one time.
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Know the report number? Scroll horizontally through the circle icons and select to view the appropriate report.

FIELD SAFETY NOTICES (FSN)

A ‘field safety notice’ (FSN) is an important communication about the safety of a medical device that is sent to customers by a device manufacturer, or their representative. FSNs tell you what you need to do to reduce the specified risks of using the medical device. The actions are referred to as ‘field safety corrective actions’ (FSCAs). If you receive a field safety notice from a manufacturer, always act on it. Select any of the options below to go to a dedicated FSN page.

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Select and scroll to view chosen report
REPORT NO
016
1/8/2020
Getinge HCU40 Replacment of Vacuum Valves
REPORT NO
015
1/7/2020
Getinge Replacement IFU's for HU35 and rotaflow console
REPORT NO
014
1/7/2020
Liva Nova Perceval Valve Accessory kit
REPORT NO
013
1/7/2020
Medtronic HeartWare HVAD system lubricant
REPORT NO
012
1/6/2020
Getinge Quadrox Holder FSN
REPORT NO
011
1/5/2020
Teleflex IABP
REPORT NO
010
1/4/2020
Medtronic HeartWare HVAD Systems
REPORT NO
009
1/3/2017
Infections Associated With HCUs In CPB & ECMO
REPORT NO
008
1/9/2015
Potential Mycobacterial Contamination Of HCUs
REPORT NO
007
1/2/2014
SWISSMEDIC: Water-Borne Infection In Implant Patients
REPORT NO
006
1/1/2014
Maquet Cardioplegia Temperature Reading Inaccuracies
REPORT NO
005
1/1/2012
Maquet Adhesive Failure On Oxygenator Blood Outlet Connector
REPORT NO
004
1/8/2011
Sorin Heat Exchanger Blood Water Leak
REPORT NO
003
1/6/2011
Maquet Transient Increase In Pump Speeds
REPORT NO
002
1/3/2011
Terumo CDI500 Possibility Of Parameter Drift
REPORT NO
001
1/2/2009
Datascope IABP Harness Not Fit For Purpose
FSN Report cards are shown in batches of 18 at any one time.
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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.