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
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
REPORT NO
071
1/1/2021
LIVA NOVA STATEMENT ON CENTRIFUGAL HEAD
REPORT NO
070
1/1/2021
Loose component on circuit
REPORT NO
069
1/12/2020
Centrifugal Head noise
REPORT NO
068
1/11/2020
Venous Reservoir disposable issue
REPORT NO
067
1/11/2020
Failure of Heater Cooler due to leaking valves
REPORT NO
066
1/11/2020
Failure of Valves on heater cooler unit
REPORT NO
065
1/9/2020
Intra Aortic Balloon Pump (IABP) Failure
REPORT NO
064
1/9/2020
Centrifugal head failure
REPORT NO
063
1/8/2020
Centrifugal head issue 4
REPORT NO
062
1/8/2020
Human Factors Issue
REPORT NO
061
1/8/2020
LIVA NOVA RESPONSE TO REPORTED CENTRIFUGAL HEAD ISSUE
REPORT NO
060
1/8/2020
Oxygenator Fibre Leak
Perfusion Report cards are shown in batches of 30 at any one time.
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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
016
1/8/2020
Getinge HCU40 Replacment of Vacuum Valves
REPORT NO
015
1/7/2020
Getinge Replacement IFU's for HU35 and rotaflow console
REPORT NO
014
1/7/2020
Liva Nova Perceval Valve Accessory kit
REPORT NO
013
1/7/2020
Medtronic HeartWare HVAD system lubricant
REPORT NO
012
1/6/2020
Getinge Quadrox Holder FSN
REPORT NO
011
1/5/2020
Teleflex IABP
REPORT NO
010
1/4/2020
Medtronic HeartWare HVAD Systems
REPORT NO
009
1/3/2017
Infections Associated With HCUs In CPB & ECMO
REPORT NO
008
1/9/2015
Potential Mycobacterial Contamination Of HCUs
REPORT NO
007
1/2/2014
SWISSMEDIC: Water-Borne Infection In Implant Patients
REPORT NO
006
1/1/2014
Maquet Cardioplegia Temperature Reading Inaccuracies
REPORT NO
005
1/1/2012
Maquet Adhesive Failure On Oxygenator Blood Outlet Connector
REPORT NO
004
1/8/2011
Sorin Heat Exchanger Blood Water Leak
REPORT NO
003
1/6/2011
Maquet Transient Increase In Pump Speeds
REPORT NO
002
1/3/2011
Terumo CDI500 Possibility Of Parameter Drift
REPORT NO
001
1/2/2009
Datascope IABP Harness Not Fit For Purpose
FSN Report cards are shown in batches of 18 at any one time.
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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.