FDA Adverse Event
Injury
Summary report: N
MR SIGNA VOYAGER
MDR report key: 13010984
·
Received December 14, 2021
Report
- Report Number
- MW5106041
- Event Type
- Injury
- Date Received
- December 14, 2021
- Date of Event
- November 19, 2018
- Report Date
- December 9, 2021
- Manufacturer
- GE HEALTHCARE MANUFACTURING LLC
- Product Code
- LNH
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MI, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
ON (B)(6) 2018 IN (B)(6) AT THE (B)(6) I WAS IN (B)(6). THE PERSONS WAS IN A HOSPITAL THE (B)(6). I WAS IN THE EMERGENCY ROOM WITH A PERSONS NAMED (B)(6). THE PERSONS (B)(6) CONDUCTED A RAD CAT MRI BRAIN SCAN USING GENERAL ELECTRIC EQUIPMENT THAT CAUSED SEVERE BRAIN DAMAGE AND IMAGES OF THE SKULL. THERE WAS AN ADULT MALE BLACK HAIR COLLEGE STUDENT ON STAFF AS WELL. RADIATION OF THE BRAIN AT GENERAL ELECTRIC, IMAGES OF THE SKULL, CAT RAD MRI SCANS ON CAMPUS AT (B)(6). INSIDE OF THE (B)(6) HOSPITAL. I WAS FED NORMAL FOOD DELIVERY FAST FOOD. THEY WERE IN THE EMERGENCY ROOM HERE ONE TIME, AND WERE GIVEN IMAGING OF THE BRAIN AND SKULL. SAMPLE, HOMELESS STUDENT FROM DORMITORY. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1898121 | MR SIGNA VOYAGER | SYSTEM, NUCLEAR MAGNETIC RESONANCE IMAGING | LNH | GE HEALTHCARE MANUFACTURING LLC | |||
| 1898122 | SIGNA PIONEER | SYSTEM, NUCLEAR MAGNETIC RESONANCE IMAGING | LNH | GE HEALTHCARE MANUFACTURING LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 23 YR | Female | Hospitalization| L| S| R | HERBAL REMEDIES |