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
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.
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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
034
28/2/2022
Medtronic HVAD
REPORT NO
033
1/10/2021
Gettinge Custom tubing notification
REPORT NO
032
1/9/2021
Getinge Cardiosave Battery FSN
REPORT NO
031
1/8/2021
Getinge HCU40
REPORT NO
030
1/7/2021
Getinge Tubing FSN
REPORT NO
029
1/6/2021
Medtronic HVAD Update June 2021
REPORT NO
028
1/5/2021
Getinge Sterile Barrier Integrity issue FSN
REPORT NO
027
1/5/2021
Terumo Extracorporeal Circuit Integrity
REPORT NO
026
1/3/2021
Datascope IABP Cypersecurity vulnerabilities
REPORT NO
025
1/5/2021
Update to Medtronic HVAD from Dec 2020
REPORT NO
024
1/2/2021
FSN Medtronic Pixie
REPORT NO
023
1/2/2021
Getinge IABP Battery Usage, Charging, Storage
REPORT NO
022
1/2/2021
Getinge HCU40 Replacement of Vacuum Valves
REPORT NO
021
1/12/2020
Getinge Paediatric Hardshell Reservoir
REPORT NO
020
1/11/2020
Getinge HLS FSN
REPORT NO
019
1/10/2020
Getinge HCU40 cable connection FSN
REPORT NO
018
1/9/2020
Getinge BMU40 FSN
REPORT NO
017
1/8/2020
Getinge Device Recall IAB
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.