REPORT
075
DATE
Oct 2021
TITLE
Leaking one way valve
DETAILS OF INCIDENT

The one way valve in the LV valve was leaking from the start of the case. The leak was slow and blood loss was minimal-the valve was removed by the perfusionist as soon as the leak was detected.

DETAILS OF INJURY TO PATIENT

N/A

TYPE OF DEVICE/MANUFACTURER

Terumo adult tubing pack

ACTION TAKEN

The leaking one way valve was cut out of the vent using a sterile technique.

Company contacted, have arranged collection of the faulty valve for investigation.

RESPONSE FROM MANUFACTURER
ADDTIONAL INFORMATION
SUPPORTING VISUALS/VIDEO
SUPPORTING DOCUMENT

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