Machine Failure Caused by Keyboard Damage

APSF Newsletter, Fall 2008

I am the head of cardiothoracic anesthesia at St. John’s Mercy Medical Center in St. Louis and have had a unique failure of one of our newer anesthesia machines that…

Reader Ponders Relative Risks of Retrograde Arterial Flow

APSF Newsletter, Summer 2008

Reader Ponders Relative Risks of Retrograde Arterial Flow Several staff members are concerned that our invasive arterial monitoring kit (Hospira TRANSPAC IV), if flushed rapidly, can produce retrograde flow. An…

How Do Flow Sensors Work?

APSF Newsletter, Spring 2008

The information in this column is provided for safety-related educational purposes only, and does not constitute medical or legal advice. Individual or group responses are only commentary, provided for purposes…

The Role of ECRI in Medical Device Incidents

APSF Newsletter, Winter 2007

As coeditors of this column, it is very important that we explain to our readers what established methods of device reporting and improvement already exist within the United States. Although…

Dear SIRS

APSF Newsletter, Fall 2007

As our description of the Dear SIRS column states, “The purpose of this column is to allow expeditious communication of technology-related safety concerns . . . with input and responses…

Alarm Requires Selection of Heart Rate Source

APSF Newsletter, Summer 2007

I am a CRNA with 13 years of experience. I never had a problem with a pulse oximeter until I encountered the Datex-Ohmeda Cardiocap 5. I was accustomed to a…

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