PIRS-2 News & Safety Resources

Medtronic is recalling specific models of unused DLP Left Heart Vent Catheters,

16 Fr (model 12116) and 18Fr (model 12118)

due to the potential for a wire protrusion through the left heart vent catheter tip.  If unnoticed prior to the procedure, this wire protrusion could lead to tissue damage (abrasion / perforation) and thereby to a longer duration of the procedure and/or surgical repair.

Note the Date is incorrect on the image below and should read 30 August 2021

PIRS2 :  Human Factors of Reporting Information
PIRS News 10
June 2020
PIRS News 9
September 2019
PIRS News 8
April 2019
PIRS News 7
April 2018
PIRS News 6
January 2018
PIRS News 5
June 2017
PIRS News 4
May 2017
PIRS News 2
February 2017
PIRS News 1
January 2017

                               Original Article
            Reproduced with permission from JECT

Incident Reporting in Perfusion: Current Perceptions on

Timothy W. Willcox,  CCP;* Robert A. Baker, PhD,   CCP^


*Green Lane Cardiothoracic Unit, Auckland City Hospital, Auckland, New Zealand; and Department of Anaesthesiology, School of Medicine, University of Auckland, Auckland, New Zealand; and ^Cardiac and Thoracic Surgery Unit, Flinders Medical Centre, Adelaide, South Australia; College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.

Disconnection of Cobe SMARxT® Tubing from the Venous Outlet of the Terumo Capiox® SX25RX Oxygenator During Cardiopulmonary Bypass

Jane Ottens, BSc, Dip Perf, CCP (Aust),* Robert A. Baker, PhD, Dip, Perf, CCP (Aust),†‡ Andrew J. Sanderson, BSc, Dip, Perf, CCP (Aust),* and Richard F. Newland, BSc, Dip, Perf, CCP (Aust)

Safety Archive
of the Society of Clinical Perfusion Scientists of Great Britain and Ireland
available here.

Please email admin@anzcp.org for PIRS News 3

Perfusion Safety References