PERFUSION REPORTS

REPORT
141
DATE
26/6/2026
TITLE
EOPA cannula
DETAILS OF INCIDENT

FSN released for approximately 7000 22Fr Medtronic EOPA cannula across the UK. This is due to a moulding error that produced pin holes in the body of the cannula.

DETAILS OF INJURY TO PATIENT
TYPE OF DEVICE/MANUFACTURER

Medtronic 22Fr EOPA arterial cannula

ACTION TAKEN

All departments impacted have been contacted by Medtronic and the SCPS have released communication on social media. All affected batches removed from circulation (expected to be all 22Fr 3D and standard EOPA currently being used).

RESPONSE FROM MANUFACTURER
ADDTIONAL INFORMATION
SUPPORTING VISUALS/VIDEO
SUPPORTING DOCUMENT

OTHER PERFUSION
 REPORTS

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REPORT NO
054
1/4/20
Leaking ALF
REPORT NO
053
1/2/20
Arterial Line Filter Leak
REPORT NO
052
1/3/19
Gas Line Filter Issue
REPORT NO
051
1/12/19
Dual Lumen Cannula Movement
REPORT NO
050
1/10/19
Venous Cannula Damaged
REPORT NO
049
1/12/19
Oxygenation Issue
REPORT NO
048
1/8/19
Roller Pump Failure
REPORT NO
047
1/12/19
Broken Cannula Dilator
REPORT NO
046
6/12/19
Gas Blender Error
REPORT NO
045
20/11/19
Tubing Detachments
REPORT NO
044
27/11/19
Interruption to IABP counterpulsation
REPORT NO
043
1/7/19
Getinge Mal-Position Of IABP Catheter
REPORT NO
042
1/2/19
Avalon Dual Lumen Cannula Crack
REPORT NO
041
1/2/19
Custodial Rubber Fragmentation In Spiked Bag
REPORT NO
040
1/10/18
Reservoir Clot
REPORT NO
039
1/10/18
Pall Clot In Cardioplegia Circuit
REPORT NO
038
1/10/18
Maquet HL20 Cardioplegia Pump Error
REPORT NO
037
1/10/17
Temed D200 Haemoconcentrator Clot
REPORT NO
036
1/10/17
Oxygenator issue
REPORT NO
035
1/10/17
Medtronic Fusion Oxygenator Blood To Gas Leak
REPORT NO
034
Possible Medtronic Fusion Oxygenator Failure
REPORT NO
033
Fannin Heparin Ampules Shattering
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
Perfusion Report cards are shown in batches of 30 at any one time where available.
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