Describe the Event or Problem: |
This device was inserted percutaneously into the pt's chest into the Aorta for ECMO circulation. Upon removing the surgical drapes and applying dressing there was noted to be a large amount of bleeding. There was over 2 liters of blood into the chest tube drainage Atrium. Doc ordered the pt to be re-prepped and draped to re-open pt for bleeding. Upon removing dressing and re-prepping the pt there was noted to be a pen-sized hole in this stated OptiSite arterial cannula. Doctor was called back and pt was re opened for mediastinal bleeding and he exchanged this cannula with a new 20 FR cannula.
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Manufacturer response for OptiSite Arterial Perfusion Cannula, Cannula (per site reporter)
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will replace. |
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