FDA Panel Says More Research Needed To Fight Heater-Cooler Infections

The Circulatory System Devices advisory panel generally recommends more frequent cleaning of the devices used to support open-chest surgery and, in the long term, it tasks manufacturers with redesigning them so they are easier to clean and disinfect.

More research is needed before FDA can recommend specific best practices or device design changes to stop the transmission of nontuberculous mycobacteria (NTM) via the heater-cooler units used to regulate patient body temperature during open-chest surgery. Until then, health-care facilities should clean the devices’ water tanks more regularly and more thoroughly, the agency’s Circulatory System Devices Panel concluded after a two-day meeting held on June 2 and 3.

The meeting was convened in the wake of European research showing patient deaths tied to infections spread by the heater-coolers and an FDA safety alert that said similar infections have...

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