The customer contacted a siemens customer care center.A siemens customer service engineer (cse) was dispatched to the customer's site.The cse determined that the alternating current (ac) power distribution board was damaged and replaced the damaged ac power distribution board.The cse also removed and discarded the reagents, quality controls (qcs), and calibrators.Then, the cse ran a full quick check test, loaded new reagents, and ran qcs and calibrations, which recovered acceptably.Siemens further investigated the issue.Siemens determined that the customer followed the procedure to loosen the cap of the sample probe cleaner bottle to prevent back pressure and allow the fluid to properly fill the lower bowl.However, the cap was too loose and fell off.Having the cap off would not have caused the splash.However, since the customer placed a fan in front of the instrument (with the instrument doors open), sample probe cleaner fluid that was on the outside of the bottle splashed onto the electronics in the instrument, causing a short.A use error contributed to this event.The instrument is performing according to specifications.No further evaluation of this device is required.
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The customer reported they inadvertently spilled sample probe cleaner onto the motherboard of the dimension vista 1500 instrument, causing it to shut down, when they attempted to replace the sample probe cleaner.During this time, the customer reported that they observed sparks and a small fire, which diminished.The customer contacted maintenance to unplug the instrument.There was no delay to patient testing because the customer ran samples on an alternate instrument in the laboratory.There are no known reports of adverse health consequences due this event.
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