PERFUSION REPORTS

REPORT
146
DATE
19/5/2026
TITLE
Oxygen sensor gas leak
DETAILS OF INCIDENT

Gas blender was set to 4lpm flow and on checking the gas line it was felt to be lower. Gas flow was checked with a flow meter which only read 2lpm. The gas leak was found to be at the oxygen sensor.

DETAILS OF INJURY TO PATIENT
TYPE OF DEVICE/MANUFACTURER

Teledyne oxygen analyser. Asset number 5003572

ACTION TAKEN

Source of gas leak found to be at the oxygen sensor. Changed out for a new sensor and the issue resolved. Faulty sensor sent to clinical engineering.

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RESPONSE FROM MANUFACTURER
ADDTIONAL INFORMATION
SUPPORTING VISUALS/VIDEO
SUPPORTING DOCUMENT

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