A HEALTH CARE PROFESSIONAL REPORTED THAT BETWEEN PT EXAMINATIONS WITH THE CIRRUS HD-OCT 4000, HE OBSERVED THAT THE INSTRUMENT WAS EMITTING WHITE SMOKE AND THE DISPLAY SCREEN WAS BLANK. HE IMMEDIATELY UNPLUGGED THE POWER CABLE AND COVERED THE INSTRUMENT WITH A FIRE BLANKET. HE SUBSEQUENTLY REMOVED THE FIRE BLANKET AND FOUND THAT ONE OF THE INSTRUMENT COVERS HAD BEEN DEFORMED AND FLAMES WERE VISIBLE. HE USED A FOAM FIRE EXTINGUISHER TO PUT OUT THE FIRE. IT WAS REPORTED THAT THERE WERE NO INJURIES AND THE FIRE WAS CONFINED TO THE INSTRUMENT.
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Patient 1
THE DEVICE, WHICH WAS RETURNED TO THE MANUFACTURER, UNDERWENT AN ANALYSIS OF POSSIBLE FAILURE MODES AT A THIRD-PARTY LAB. THE LAB DETERMINED THAT A TANTALUM CAPACITOR FAILED AND DISCHARGED A SMALL EXTREME TEMPERATURE PARTICLE THAT LODGED IN THE INSULATION OF A CABLE. THE INSULATION OF THE CABLE ACTED AS FUEL FOR THE RESULTING FIRE. (B)(4). SITE CONTACT: SAME AS INITIAL REPORTER.