Loud constant alarm heard from balloon pump.When assessing device, all waveforms were a flat line and all numbers were at zero and pump was alarming internal malfunction.When troubleshooting the device, the recommendation from the device was to turn the device off for ten seconds and to turn it back on.When this was attempted, the device did not turn back on.Patient was quickly transferred over to a new device instead.No harm to patient noted.Engineering evaluation: when tested later, the machine booted normally.Review of the error log showed two entries at the time of the incident.Screen shot of log attached.Review of the fault table showed these errors had only occurred once.Per manufacturer advice, no further corrective action is needed.Machine ran with simulator 48 hours with no further events.Manufacturer response for intra-aortic balloon pump, (brand not provided) (per site reporter).Since the error only occurred once, they said it was nothing to worry about.
|