inforMED
InjuryFOX

LEVITON RELOCATABLE POWER TAP

Received Mar 21, 2023 · Event occurred Feb 18, 2023

Report MW5115847 · MDR key 16581982

Device

Generic name

Stand, Infusion

Model number

53C4M-1N5

Catalog number

53C4M-1N5

Lot number

53C4M-1N5

Product problems

  • Fire

Patient

74 YR · Male

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

SURGICAL TECH NOTICED A FLAME COMING FROM THE RELOCATABLE POWER TAP (RPT). POURED SALINE ON FLAME WITH THE INTENT TO EXTINGUISH THE FIRE. NO HARM TO PATIENT OR OTHER CAREGIVERS IN THE OPERATING ROOM. A 3M BEAR HUGGER WAS CONNECTED TO THE POWER TAP BUT THE DEVICE WAS NOT ATTACHED TO THE PATIENT DURING THE EVENT.