PERFUSION REPORTS

REPORT
070
DATE
1/1/2021
TITLE
Loose component on circuit
DETAILS OF INCIDENT

On removal of Maquet Quadrox-i hollow fibre oxygenator from its holder (post bypass) for disposal, the red de-airing stopcock caught loosely on the holder and became dislodged and fell onto the theatre floor. This resulted in the bloodied contents of the oxygenator quickly emptying onto the floor.

DETAILS OF INJURY TO PATIENT

none

TYPE OF DEVICE/MANUFACTURER
ACTION TAKEN

The unit was retrieved and washed through and packaged for return to Maquet. All department staff were informed of the issue recommending thorough checks during building and priming future circuits.

RESPONSE FROM MANUFACTURER

To be uploaded when received

ADDTIONAL INFORMATION
SUPPORTING VISUALS/VIDEO
SUPPORTING DOCUMENT

OTHER PERFUSION
 REPORTS

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REPORT NO
001
1/1/09
Oxygenator Water To Blood Leak
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