A.1.-a.5.There was no patient involvement.G.5.The heater-cooler 16-02-80 is not distributed in the usa and it is similar to heater-cooler 16-02-85, which is distributed in the usa (510(k) number: k191402).H.9.Livanova deutschland implemented a field safety notice for disinfection and cleaning of heater-cooler devices.The z number is z-2076/2081-2015.H10: livanova deutschland manufactures the heater-cooler system 3t.The incident occurred in (b)(6) belgium.Livanova initiated an investigation.If any additional information pertinent to the reported event is received, it will be provided in a supplemental report.
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Throught follow up livanova learned the device is cleaned regularly.The hospital does not use reusable blankets, the water quality monitoring is applied and the h2o2 checked every day as prescribed by the ifu, the device is in use every day, the h2o2 is checked daily but not in the weekend, h2o2 is added when the water in the tanks is changed (each 7 days), a disposable pall-aquasafe water filter with an 0.2 m membrane (or equivalent performance filter) is used for tap water, prior to initial operation and prior to storing the heater-cooler the surfaces and water circuits are disinfected and device surfaces are disinfected once a week, the 3t aerosol collection set is replaced after the allowed use period.The device is placed outside the operation theatre during use.As per the above, the device is not cleaned after every operations and h2o2 is checked every day but not in the weekend.This is not in accordance with ifu.If any additional information pertinent to the reported event is received, it will be provided in a supplemental report.
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