FDA Adverse Event Injury Summary report: N

SIGNA ARTIST

MDR report key: 19310537 · Received May 14, 2024

Report

Report Number
3010949642-2024-00003
Event Type
Injury
Date Received
May 14, 2024
Date of Event
April 9, 2023
Report Date
July 2, 2024
Manufacturer
GE HEALTHCARE (TIANJIN) COMPANY LIMITED
Product Code
LNH
PMA / PMN Number
K202238
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D: THERE ARE NO ADDITIONAL DEVICE IDENTIFICATION NUMBERS. H3, 6: GE HEALTHCARE'S INVESTIGATION IS ONGOING. A FOLLOW UP REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION HAS BEEN COMPLETED.

Additional Manufacturer Narrative · 0

H3: GE HEALTHCARE'S (GEHC) INVESTIGATION HAS BEEN COMPLETED. THE ACOUSTIC PERFORMANCE TEST WAS PERFORMED ON THE SYSTEM AND CONCLUDED THAT THE TESTING MEETS THE IEC 60601-2-33 REQUIREMENTS AND THE OSHA LEVELS ARE WITHIN THE SPECIFICATION FOR THIS SYSTEM CONFIGURATION. THE INCIDENT APPEARS TO BE THE RESULT OF HUMAN MEDICAL CONDITION(S). THE PATIENT WAS PROVIDED PROPER HEARING PROTECTION DURING THE SCAN. HUMAN CONDITIONS MAY CAUSE SENSITIVITY TO ACOUSTIC LEVELS THAT OCCUR DURING NORMAL CLINICAL SCANNING. NO SYSTEMIC ISSUES WERE IDENTIFIED AND NO CORRECTIONS ARE REQUIRED AS THE SYSTEM WAS OPERATING WITHIN SPECIFICATION. NO FURTHER ACTIONS ARE PLANNED BY GEHC. CORRECTED DATA: D4 PRIMARY UDI NUMBER.

Description of Event or Problem · 0

IT WAS REPORTED ON MAUDE REPORT# MW5118719 SUBMITTED BY THE PATIENT, THAT FOLLOWING AN MRI SCAN FOR A C-SPINE ISSUE, THE PATIENT STATED THAT SHE WAS DIAGNOSED WITH HEARING LOSS BY AN AUDIOLOGIST. PRIOR TO THE SCAN, THE PATIENT WAS GIVEN EAR PLUGS. DURING THE SCAN, THE PATIENT WAS ALSO PROVIDED EARMUFFS AND ADDITIONAL PADDING AROUND THE EARMUFFS. IT IS UNKNOWN IF THE PATIENT RECEIVED ANY TREATMENT FOR THE HEARING LOSS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
576214 SIGNA ARTIST NUCLEAR MAGNETIC RESONANCE IMAGING LNH GE HEALTHCARE (TIANJIN) COMPANY LIMITED

Patients

Seq Age Sex Outcome Treatment
1 51 YR Female Other