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Re: M.chimaera in cardiothoracic heater cooler units

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    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Dear All,

    Further to my earlier posting on the issue of M.chimaera in cardiothoracic
    heater cooler units this posting on the USA Controversies in Hospital
    infection Prevention blog site today may be of interest.

    Tuesday, February 2, 2016 – M. chimaera infections associated with
    cardiopulmonary bypass

    http://haicontroversies.blogspot.com.au/2016/02/m-chimaera-infections-associ
    ated-with.html?showComment54495047170#c157092978532341716

    You will see in the comments section that I have asked Mike Edmond, the
    author, if he is able to provide more details (and perhaps some images)about
    how their hospital engineers were able to move the heater-cooler
    units/devices out of the operating room.

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    PO Box 5202

    Middle Park

    Victoria, 3206

    Australia

    M: +61 404 816 434

    infexion@ozemail.com.au

    ABN 47533508426

    halt shipping from device manufacturer linked to patient deaths

    Dear All,

    For those following the issue of cardiothoracic heater cooler units this
    article from Beckers Infection Control & Clinical Quality and FDA warning
    letter (following inspection at manufacturing plants) may be of interest.

    “FDA moves to halt shipping from device manufacturer linked to patient
    deaths

    The Food and Drug Administration
    has issued a warning letter to LivaNova, a London-based medical device
    manufacturer, stating the company does not provide adequate cleaning
    information to prevent bacteria from accumulating inside its heater-cooler
    machines, which were linked to deaths at
    WellSpan York (Pa.) Hospital in October and
    Penn State Hershey Medical Center in November. Between the two
    hospitals, 3,600 patients were notified that they may be at risk from
    infections due to the devices.

    The heater-cooler devices, used during open heart surgery to regulate
    temperature, never come into contact with patients. However, the machines
    are at risk of accumulating biofilm, which contains harmful bacteria that
    can be transmitted to patients through the air during surgery. Between Penn
    State Hershey Medical Center and WellSpan York Hospital, at least six deaths
    have been linked to the devices. In addition to finding the
    manufacturer-issued device-cleaning protocol to be ineffective, the FDA’s
    investigation revealed the devices were misbranded and the company was
    operating without an approved application for pre-market approval”.

    Beckers Infection Control & Clinical Quality – Written by Max Green |
    January 06, 2016

    http://www.beckershospitalreview.com/quality/fda-to-halts-shipping-from-devi
    ce-manufacturer-linked-to-4-deaths.html

    FDA Warning Letter

    http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2015/ucm479684.ht
    m

    LivaNova PLC Provides Update on FDA Warning Letter – LONDON, Jan. 05, 2016

    http://www.livanova.com/investor-relations/pressreleases/news_release_212642
    9

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    PO Box 5202

    Middle Park

    Victoria, 3206

    Australia

    M: +61 404 816 434

    infexion@ozemail.com.au

    ABN 47533508426

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