FDA Adverse Event Injury Summary report: N

MAGNETOM ESSENZA

MDR report key: 3964142 · Received July 11, 2014

Report

Report Number
2240869-2014-00942
Event Type
Injury
Date Received
July 11, 2014
Date of Event
January 30, 2014
Report Date
January 31, 2014
Manufacturer
SIEMENS HEALTHCARE
Product Code
LNH
PMA / PMN Number
K071925
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

SIEMENS HAS EVALUATED THE SYS REPORTS AND PT IMAGES. ADDITIONALLY, THE SYS WAS EVALUATED AND NO MALFUNCTIONS WERE FOUND AND THE SYS IS OPERATING ACCORDING TO SPECIFICATIONS. IT WAS CONCLUDED THAT THE PT INJURY WAS CAUSED BY A CONDUCTING RF LOOP AS THE PT WAS WEARING GARMENTS THAT CONTAINED METALLIC THREADS. THE MAGNETOM ESSENZA USER MANUAL CLEARLY ADVISES OPERATORS TO ENSURE PTS ARE FREE FROM ALL ITEMS THAT CONTAIN FERROUS METALS. THIS INCIDENT OCCURRED IN (B)(6). THIS REPORTED IS BEING FILED WITH THE FDA ON (B)(4) 2014.

Description of Event or Problem · 1

SIEMENS WAS NOTIFIED BY A USER FACILITY OF A FEMALE PT WHO EXPERIENCED A BURNING SENSATION DURING A SPINE STUDY. THE OPERATOR EXAMINED THE PT AND NOTED A RASH AND BURN MARKS TO THE PT'S BACK AND POSTERIOR. THE PT WAS TREATED WITH ANTIBIOTIC CREAM. THE PT EXAMINATION LASTED FOR FIFTEEN MINUTES AND IT WAS NOTED THE PT WAS WEARING THEIR OWN CLOTHING WHICH INCLUDED METALLIC THREADS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
408061 MAGNETOM ESSENZA SYS, NUC. MAG. RESONANCE IMAGING LNH SIEMENS HEALTHCARE 10836666

Patients

Seq Age Sex Outcome Treatment
1 72 YR Other