BEUDAMED
    FDA Adverse Event Injury Summary report: N

    3155A PATIENT MONITOR

    MDR report key: 541348 · Received August 27, 2004

    Report

    Report Number
    1051786-2004-00001
    Event Type
    Injury
    Date Received
    August 27, 2004
    Date of Event
    July 29, 2004
    Report Date
    July 29, 2004
    Manufacturer
    INVIVO RESEARCH, INC.
    Product Code
    DRT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THIS HOSPITAL REPORTED THAT AN A5153 POWER ADAPTER WAS DRAWN TOWARD THE MRI MAGNET WHILE BEING TRANSPORTED INTO THE MAGNET ROOM. THE TECHNICIAN DEFLECTED THIS ADPATER BEFORE IT WAS DRAWN INTO THE MRI BORE, BUT SUFFERED A MINOR HAND INJURY IN THE PROCESS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 3155A PATIENT MONITOR MULTIPARAMETER PATIENT MONITOR DRT INVIVO RESEARCH, INC. 3155A *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention ANESTHESIA MACHINE.| PART OF A SET-UP WITH DATEX-OHMEDA AESTEVA