A power cord plug on a ge dash 4000 physiological monitor caught on fire at the outlet's end.The power cord and electrical outlet were replaced.The room was empty at the time of the fire and there was no harm to patients or staff.It is suspected that the plug of the power cord was fatigued and/or worn out from plugging and unplugging the unit.Service and preventative maintenance history were analyzed and we found no discrepancies.An electrical safety test to the main monitor successfully passed following manufacturer recommendations.Staff personnel were re-educated on the need to visually inspect power cords and on the process to report any damage.Gems-it 80274 rev:b mfr.09/13.Fda safety report id #(b)(4).
|