注射泵故障。

Anaesthesia. 1981 May;36(5):523-5. doi: 10.1111/j.1365-2044.1981.tb10289.x.

An electronic syringe pump accidentally delivered a solution of buprenorphine at an accelerated rate. Following an extensive investigation by the manufacturers, this malfunction was attributed to a short circuit in the electronic control system by a particle of extraneous conductive material within the unit.

一台电子注射泵意外地加速输送了丁丙诺啡溶液。在制造商进行广泛调查后，此次故障归因于设备内部一粒外来导电材料导致电子控制系统短路。