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
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
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
REPORT NO
024
Chalice Paragon Midi Heat Exchanger Leak Whilst Priming
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
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.
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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.