SAFETY ARCHIVE

PERFUSION REPORTS

Perfusion Reports are taken from the Safety Committee web based reporting system and after appropriate anonymising disseminated to the membership. The content should be informative and hopefully encourage similar sharing from the perfusion community. Select any of the options below to go to a dedicated perfusion reports page.

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REPORT NO
101
6/4/2021
Irregular blood flow/foreign looking substance in Oxygenator
REPORT NO
100
20/4/2022
Gas Line Filter Fault
REPORT NO
099
20/4/2022
Human Factors: BiVAD Error
REPORT NO
098
4/4/2022
REPORT NO
097
19/3/2022
Disposables Issue
REPORT NO
096
18/3/2022
Bubbles Sensor Activation
REPORT NO
095
1/1/2022
Protamine Administration
REPORT NO
094
1/11/2021
Oxygenation failure upon commencement of CPB
REPORT NO
093
1/11/2021
Detached bullet tip of sump
REPORT NO
092
1/10/2021
Vapourizer Issue
REPORT NO
091
1/10/2021
Oyxgenator Leak
REPORT NO
090
1/10/2021
Breach of chemical cleaner
REPORT NO
089
1/9/2021
Sechrist Gas Blender Sweep on ECMO
REPORT NO
088
1/9/2021
Oxygenator High Pressure Events
REPORT NO
087
1/10/2021
Leaking one way valve
REPORT NO
086
1/7/2021
Electronic Gas Blender Fault
REPORT NO
085
1/2/2021
Protamine Administration Issue
REPORT NO
084
1/6/2021
Damaged roller pump lid
REPORT NO
083
1/6/2021
IABP malfunction
REPORT NO
082
1/1/2021
Accidental cardioplegia administration
REPORT NO
081
1/4/2021
S5 Double Roller Pump incident
REPORT NO
080
1/5/2021
Human factors issue
REPORT NO
079
1/6/2021
Centrimag battery module failure
REPORT NO
078
1/6/2021
Sampling manifold valve fault
REPORT NO
077
1/5/2021
IABP transport issue
REPORT NO
076
1/4/2021
Modified Ultrafiltration (MUF) Issue
REPORT NO
075
1/3/2021
Electromagnetic interference with HLM
REPORT NO
074
1/2/2021
HCU40 Failure
REPORT NO
073
1/2/2021
HCU40 valve failures
REPORT NO
072
1/1/2021
HCU40 failure
Perfusion Report cards are shown in batches of 30 at any one time.
101
100
099
098
097
096
095
094
093
092
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089
088
087
086
085
084
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033
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020
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012
011
010
009
008
007
006
005
004
003
002
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Know the report number? Scroll horizontally through the circle icons and select to view the appropriate report.

FIELD SAFETY NOTICES (FSN)

A ‘field safety notice’ (FSN) is an important communication about the safety of a medical device that is sent to customers by a device manufacturer, or their representative. FSNs tell you what you need to do to reduce the specified risks of using the medical device. The actions are referred to as ‘field safety corrective actions’ (FSCAs). If you receive a field safety notice from a manufacturer, always act on it. Select any of the options below to go to a dedicated FSN page.

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Select and scroll to view chosen report
REPORT NO
034
28/2/2022
Medtronic HVAD
REPORT NO
033
1/10/2021
Gettinge Custom tubing notification
REPORT NO
032
1/9/2021
Getinge Cardiosave Battery FSN
REPORT NO
031
1/8/2021
Getinge HCU40
REPORT NO
030
1/7/2021
Getinge Tubing FSN
REPORT NO
029
1/6/2021
Medtronic HVAD Update June 2021
REPORT NO
028
1/5/2021
Getinge Sterile Barrier Integrity issue FSN
REPORT NO
027
1/5/2021
Terumo Extracorporeal Circuit Integrity
REPORT NO
026
1/3/2021
Datascope IABP Cypersecurity vulnerabilities
REPORT NO
025
1/5/2021
Update to Medtronic HVAD from Dec 2020
REPORT NO
024
1/2/2021
FSN Medtronic Pixie
REPORT NO
023
1/2/2021
Getinge IABP Battery Usage, Charging, Storage
REPORT NO
022
1/2/2021
Getinge HCU40 Replacement of Vacuum Valves
REPORT NO
021
1/12/2020
Getinge Paediatric Hardshell Reservoir
REPORT NO
020
1/11/2020
Getinge HLS FSN
REPORT NO
019
1/10/2020
Getinge HCU40 cable connection FSN
REPORT NO
018
1/9/2020
Getinge BMU40 FSN
REPORT NO
017
1/8/2020
Getinge Device Recall IAB
FSN Report cards are shown in batches of 18 at any one time.
034
033
032
031
030
029
028
027
026
025
024
023
022
021
020
019
018
017
016
015
014
013
012
011
010
009
008
007
006
005
004
003
002
001
London Core Review Cardiothoracic Surgery Course - Touch icon
London Core Review Cardiothoracic Surgery Course - Help Guide
Know the report number? Scroll horizontally through the circle icons and select to view the appropriate report.