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.

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
032
Sucker Placed In Raceway In Wrong Direction
REPORT NO
031
High Transmembrane Pressure Gradients
REPORT NO
030
Faulty Connector On ECMO Soft Shell Reservoir Bag
REPORT NO
029
Sorin Inspire 8F Blood Leak From Temperature Port
REPORT NO
028
Sorin Inspire 8F Oxygenator Detached From Holding Arm
REPORT NO
027
Paragon Oxygenator Gas Inlet Leak
REPORT NO
026
Maquet IABP Console Failure
REPORT NO
025
Sorin EOS Gas To Blood Leak Whilst Priming
REPORT NO
024
Chalice Paragon Midi Heat Exchanger Leak Whilst Priming
REPORT NO
023
Chalice Paragon Heat Exchanger Water To Blood Leak
REPORT NO
022
Vent Pump Boot Tubing Inserted In Wrong Way Round
REPORT NO
021
Paragon Oxygenator Heat Exchanger Leak
REPORT NO
020
S3 E62 Pump Error
REPORT NO
019
Medtronic Potential Oxygenator Leak
REPORT NO
018
Medos Heat Exchanger Leak
REPORT NO
017
Avant D903 Has A Dual Chamber Reservoir Leak
REPORT NO
016
Additional Sucker Incorrectly Placed In Raceway
REPORT NO
015
Large Perished Tear Observed On Tubing At Back Of Vaporiser
REPORT NO
014
Gas Blender Flow Control Immobilised
REPORT NO
013
Isoflurane Vaporiser Seal Leak Due To Malposition
REPORT NO
012
1/2/2013
Hypercoagulable Disorder May Have Led To Oxygenator Failure
REPORT NO
011
1/1/2013
LV Vent Placed In Raceway In Wrong Direction
REPORT NO
010
1/3/2012
Sucker Placed In Raceway In Wrong Direction
REPORT NO
009
1/2/2012
Similarity In Heparin And St Thomas Cardioplegia Ampules
REPORT NO
008
1/7/2011
Aorta Remained Clamped Post CPB
REPORT NO
007
1/5/2011
Deficiencies In The QC At Terumo Ann Arbor, USA.
REPORT NO
006
1/4/2011
Awareness Of Suckers When Using Bio-Glues
REPORT NO
005
1/2/2011
Patient Exsanguinated From Additional Venous Line Post CPB
REPORT NO
004
1/1/2011
Possible Inaccuracies In Colloid Research
REPORT NO
003
1/2/2010
Difficulties In Visualising Blender Reading
Perfusion Report cards are shown in batches of 30 at any one time.
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.

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.

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
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.
034
033
032
031
030
029
028
027
026
025
024
023
022
021
020
019
018
017
016
015
014
013
012
011
010
009
008
007
006
005
004
003
002
001
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.