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
059
1/5/2020
Failure to remove CO2 effectively
REPORT NO
058
1/7/2020
Centrifugal Head Issue 3
REPORT NO
057
1/6/2020
Centrifugal Head Issue 2
REPORT NO
056
1/1/2020
Centrifugal Head Issue
REPORT NO
055
1/2/2020
Faulty Pressure Relief Valves
REPORT NO
054
1/4/2020
Leaking ALF
REPORT NO
053
1/2/2020
Arterial Line Filter Leak
REPORT NO
052
1/3/2019
Gas Line Filter Issue
REPORT NO
051
1/12/2019
Dual Lumen Cannula Movement
REPORT NO
050
1/10/2019
Venous Cannula Damaged
REPORT NO
049
1/12/2019
Oxygenation Issue
REPORT NO
048
1/8/2019
Roller Pump Failure
REPORT NO
047
1/12/2019
Broken Cannula Dilator
REPORT NO
046
6/12/2019
Gas Blender Error
REPORT NO
045
20/11/2019
Tubing Detachments
REPORT NO
044
27/11/2019
Interruption to IABP counterpulsation
REPORT NO
043
1/7/2019
Getinge Mal-Position Of IABP Catheter
REPORT NO
042
1/2/2019
Avalon Dual Lumen Cannula Crack
REPORT NO
041
1/2/2019
Custodial Rubber Fragmentation In Spiked Bag
REPORT NO
040
1/10/2018
Reservoir Clot
REPORT NO
039
1/10/2018
Pall Clot In Cardioplegia Circuit
REPORT NO
038
1/10/2018
Maquet HL20 Cardioplegia Pump Error
REPORT NO
037
1/10/2017
Temed D200 Haemoconcentrator Clot
REPORT NO
036
1/10/2017
Oxygenator issue
REPORT NO
035
1/10/2017
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
Perfusion Report cards are shown in batches of 30 at any one time.
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020
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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.
034
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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.