inforMED

WARMING CABINET

Received Aug 22, 2012 · Event occurred Jul 23, 2012

Report 1043572-2012-00069 · MDR key 2709854

Device

Generic name

Warming Cabinet

Product problems

  • Device Displays Incorrect Message
  • Sparking

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THE USER FACILITY REPORTED THAT THEIR WARMING CABINET WAS ALARMING AND SPARKS WERE EMITTING FROM THE BACK. THE USER FACILITY UNPLUGGED THE UNIT; NO INJURIES, PROCEDURAL DELAYS/CANCELLATIONS OR PROPERTY DAMAGE WERE REPORTED.

Additional Manufacturer Narrative

THE CUSTOMER HAS DECLINED STERIS' OFFER FOR IN-SERVICE.

Additional Manufacturer Narrative

A STERIS TECHNICIAN INSPECTED THE WARMING CABINET AND FOUND THE FAN MOTOR IN THE UPPER COMPARTMENT HAD SHORTED. THE TECHNICIAN REPORTED THAT THERE WAS NO EVIDENCE OF FLAME/SMOKE ON THE CABINET OR ITS COMPONENTS. HE REPLACED THE FAN MOTOR, CONFIRMED THE UNIT WAS OPERATING TO SPECIFICATION AND RETURNED THE UNIT TO SERVICE. NO FURTHER ISSUES HAVE BEEN REPORTED WITH THIS EQUIPMENT. THE TECHNICIAN REPORTED THAT HE BELIEVED THE CAUSE OF THE EVENT TO BE OVER-PACKING OF BLANKETS IN THE TOP PORTION OF THE WARMING CABINET WHICH CAUSED THE MOTOR TO OVERHEAT AND SHORT. THE EQUIPMENT OPERATOR MANUAL STATES (PP. 3-1): "LOADED CONTENTS MUST BE PLACED IN COMPARTMENT TO ALLOW FOR ADEQUATE AIR CIRCULATION." THE MANUAL ALSO STATES (PP. 3-4): "NEVER OVERLOAD THE CABINET(S) OR STACK ITEMS BEYOND RECOMMENDED LIMITS." STERIS WILL OFF IN-SERVICE ON PROPER USE/OPERATION OF THE WARMING CABINET.