FDA Adverse Event Other Summary report: N

INVIVO CORPORATION PRECESS (3160 SERIES) MRI PATIENT MONITORING SYSTEM

MDR report key: 2033304 · Received March 24, 2011

Report

Report Number
1051786-2011-00002
Event Type
Other
Date Received
March 24, 2011
Report Date
February 22, 2011
Manufacturer
INVIVO CORPORATION
Product Code
MWI
PMA / PMN Number
K053462
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THERE WAS AN ALLEGATION THAT THE MONITOR WAS BEING DRAWN INTO THE MAGNET FOLLOWING REPAIR OF THE DEVICE. THERE IS NO INDICATION IN THE COMMUNICATION REC'D FROM THE USER THAT USE OF THE DEVICE WAS OUTSIDE OF THE DEVICE'S LABELING. THEREFORE, WE ARE REPORTING THIS OCCURRENCE. THE DEVICE MFR'S TECHNICAL SUPPORT ADVISED THE USER TO ENSURE THAT THE DEVICE REMAINED BEHIND THE 5000 GAUSS FIELD LINE AND TO ALWAYS ENSURE THAT THE WHEELS ARE IN THE LOCKED POSITION WHEN THE DEVICE IS LEFT UNATTENDED (PER THE INSTRUCTIONS FOR USE). THE USER WAS ALSO ADVISED THAT NO ACTIVITY DONE DURING THE REPAIR OF THE DEVICE WOULD HAVE CAUSED IT TO BE DRAWN TOWARDS THE MAGNET. THE USER REPORTED THAT THEY WERE GOING TO CHECK WITH THE STAFF AND MAKE SURE THAT THE GUIDELINES PROVIDED IN THE INSTRUCTIONS FOR USE ARE BEING FOLLOWED. THE DEVICE MFR IS STILL INVESTIGATING THIS INCIDENT AND WILL FILE A COMPLETE REPORT ONCE THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

THE USER FACILITY'S CLINICAL ENGINEERING DEPARTMENT REPORTED THAT THE DEVICE'S BASE WAS BEING DRAWN TO THE MRI MAGNET AFTER BEING RETURNED FROM BENCH REPAIR. THERE WAS NO REPORTED PT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INVIVO CORPORATION PRECESS (3160 SERIES) MRI PATIENT MONITORING SYSTEM MWI INVIVO CORPORATION 3160

Patients

Seq Age Sex Outcome Treatment
1