title: Possible fire hazard caused by mismatching electrical chargers with the incorrect device within the operating room.
abstract: It has come to our attention that numerous devices that need charging adaptors during cardiopulmonary bypass (CPB) have similar charging sockets but different voltage requirements. This has caused one of our devices in the operating theater to overheat and completely shut down when connected to an incorrect higher-voltage charger. The possibility of fire, device destruction, or patient harm in such circumstances is of serious concern.
authors.affiliation: Cardiothoracic Surgery Unit, Cork University Hospital, Wilton, Cork, Ireland. Martin.Hargrove@mailp.hse.ie
authors.forename: Martin
authors.initials: M
authors.lastname: Hargrove
authors.forename: Thomas
authors.initials: T
authors.lastname: Aherne
mesh_terms: D000328:Adult; D002315:Cardiopulmonary Bypass / Q000295:instrumentation*; D011211:Electric Power Supplies; D004560:Electricity; D004868:Equipment Failure; D019544:Equipment Failure Analysis; D005390:Fires / Q000517:prevention & control*; D006801:Humans; D007494:Ireland; D008297:Male; D009873:Operating Rooms; D018570:Risk Assessment