PERFUSION REPORTS

REPORT
133
DATE
7/7/2025
TITLE
Disposables: Oxygenator Failure
DETAILS OF INCIDENT

Oxygenator was primed with 1.5L Plasma-Lyte and 5,000iu heparin at 8am for an off-pump case in the morning and then used for an emergency afternoon case. Sweep was increased to 10L/min for 2 hours to sigh the oxygenator prior to going on. This was turned back to 3.0L/min going onto bypass. Once commencing bypass, the FiO2 was at 80% with a pO2 of 9kPa and no significant colour change. The cross clamp had not been placed yet so the decision was made to come off bypass and perform an oxygenator changeout

DETAILS OF INJURY TO PATIENT

Come off bypass and perform an oxygenator changeout.

TYPE OF DEVICE/MANUFACTURER

Manufacturaer has not identified a specif cause.

ACTION TAKEN

Oxygenator Sent back to the manufacturere for review.

RESPONSE FROM MANUFACTURER
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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