Problem reported: fresenius continuous auto transfusion system (cats) with bmi 21132 made a popping sound during the middle of an exploratory laparotomy in operating room 22, and a small plume of smoke was seen emanating from the rear portion of the machine.There was also the distinctive odor of an electrical fire, but no flames were seen.The equipment was immediately unplugged and removed from operating room 22.Facilities was also immediately notified of the equipment issue and that this particular cats was placed at the 5n operating rom front desk with an orange repair tag.No injuries occurred to the patient or employees as a result of this equipment malfunction.
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Problem reported: fresenius continuous auto transfusion system (cats) with bmi (b)(6) made a popping sound during the middle of an exploratory laparotomy in or 22, and a small plume of smoke was seen emanating from the rear portion of the machine.There was also the distinctive odor of an electrical fire, but no flames were seen.The equipment was immediately unplugged and removed from or 22.Facilities was also immediately notified of the equipment issue and that this particular cats was placed at the 5n or front desk with an orange repair tag.No injuries occurred to the patient or employees as a result of this equipment malfunction.Fse found power entry module burnt.Upon inspection found that possible fluid infiltration caused unit to suffer reported damage.Replaced power entry module, push button and push button cap.By the description of the local fse, the intrusion of a medium into the device caused a pcba to malfunction.Therefore the device was rendered inoperable.No clear root cause could be identified.The mode of intrusion of a medium and the cause for it could not clearly be identified.
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