FDA Adverse Event Injury Summary report: N

NA

MDR report key: 20913771 · Received December 12, 2024

Report

Report Number
3010949642-2024-00008
Event Type
Injury
Date Received
December 12, 2024
Date of Event
November 15, 2024
Report Date
February 20, 2025
Manufacturer
GE HEALTHCARE (TIANJIN) COMPANY LIMITED
Product Code
LNH
PMA / PMN Number
K161567
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FI
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 HEALTHCAREÂS (GEHC) INVESTIGATION HAS BEEN COMPLETED. AN ACOUSTIC PERFORMANCE TEST WAS PERFORMED PER NEMA STANDARDS PUBLICATION NO. (B)(4) (ACOUSTIC NOISE MEASUREMENT PROCEDURE FOR DIAGNOSTIC MAGNETIC RESONANCE IMAGING DEVICES) AND IEC/CEI 60601-2-33 CLAUSE 26. THE TESTING CONCLUDES THAT THE SYSTEM IS WITHIN THE SPECIFICATION FOR THIS SYSTEM CONFIGURATION. BASED ON THE INFORMATION PROVIDED BY THE CUSTOMER, GEHC WAS ABLE TO CONFIRM THE PATIENT WAS PROVIDED PROPER HEARING PROTECTION FOR THE MR EXAM. THE INCIDENT APPEARS TO BE THE RESULT OF HUMAN MEDICAL CONDITION(S) THAT MAY CAUSE SENSITIVITY TO ACOUSTIC LEVELS THAT OCCUR DURING NORMAL CLINICAL SCANNING. NO SYSTEM ISSUE WAS FOUND. NO CORRECTIONS ARE REQUIRED AS THE SYSTEM WAS OPERATING WITHIN SPECIFICATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT, WHO HAD MRI HEADPHONES AND EAR PLUGS FOR HEARING PROTECTION, UNDERWENT AN MRI EXAM. THE PATIENT CONTACTED THE CUSTOMER THREE DAYS LATER TO REPORT HEARING ISSUES WHICH WERE CONFIRMED THAT DAY BY AN OTORHINOLARYNGOLOGIST AS HEARING LOSS OF 15 DB. IT IS UNKNOWN IF THE PATIENT RECEIVED ANY MEDICAL TREATMENT OR HAD ANY PRE-EXISTING HEARING CONDITIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2152265 NA NUCLEAR MAGNETIC RESONANCE IMAGING LNH GE HEALTHCARE (TIANJIN) COMPANY LIMITED SIGNA VOYAGER

Patients

Seq Age Sex Outcome Treatment
1 31 YR Female Other