FDA Adverse Event Injury Summary report: N

MAGNETOM SYMPHONY

MDR report key: 1070915 · Received July 7, 2008

Report

Report Number
2240869-2008-00004
Event Type
Injury
Date Received
July 7, 2008
Date of Event
April 9, 2008
Report Date
June 9, 2008
Manufacturer
SIEMENS MEDICAL SOLUTIONS USA, INC.
Product Code
LNH
PMA / PMN Number
K971684
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS EVENT OCCURRED IN ANOTHER COUNTRY.

Description of Event or Problem · 1

A FEMALE PT CLAIMED PAIN IN HER CHEST WHILE UNDERGOING BREAST EXAM, USING CP BREAST ARRAY COIL. THE TECH ASKED HER IF SHE COULD CONTINUE THE EXAMINATION. SHE AGREED TO CONTINUE THE EXAMINATION. SHE STILL HAD PAIN AFTER SHE WENT HOME. SHE WENT TO ANOTHER HOSP WHERE SHE HAD X-RAY'S WHICH REVEALED A CHEST BONE FRACTURE. THE HOSP WAS INFORMED ABOUT THE INJURY BY THE PT WHEN SHE CAME BACK TO ASK FOR FURTHER TREATMENT (AN OPERATION). THE HOSP SUGGESTED THE FRACTURE MAY HAVE BEEN CAUSED BY LYING FACE-DOWN. THIS INCIDENT OCCURRED IN A FOREIGN COUNTRY. MR CLINICAL APPLICATIONS INSPECTED THE SYSTEM, AND THE WORKFLOW OF THE SITE AND DID NOT FIND ANY ISSUES WITH EITHER THE SYSTEM OR THE WORKFLOW.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MAGNETOM SYMPHONY SYSTEM, NUCLEAR MAG RESONANCE IMAGING LNH SIEMENS MEDICAL SOLUTIONS USA, INC. 7104594 NA

Patients

Seq Age Sex Outcome Treatment
1 62 YR Other