FDA Adverse Event Death Summary report: N

MAGNETOM SPECTRA

MDR report key: 5603586 · Received April 25, 2016

Report

Report Number
2240869-2016-02327
Event Type
Death
Date Received
April 25, 2016
Date of Event
April 3, 2016
Report Date
April 22, 2016
Manufacturer
SIEMENS SHENZHEN MAGNETIC RESONANCE LTD.
Product Code
LNH
PMA / PMN Number
K153447
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ENGINEER RECEIVED IMMEDIATE MEDICAL TREATMENT AND NO SURGICAL PROCEDURE WAS REQUIRED. ROUTINE FOLLOW UP CARE WAS ADMINISTERED ON (B)(6) 2016. FOLLOW UP CARE WAS AGAIN ADMINISTERED ON (B)(6) 2016 UNDER ANESTHESIA. THE ENGINEER WENT INTO CARDIAC ARREST AND LATER PASSED AWAY. THE INITIAL EVENT OCCURRED DURING SYSTEM INSTALLATION OF THE MAGNETOM SPECTRA AN THE SYSTEM WAS NOT YET TURNED OVER FOR CLINICAL OPERATION. THE TECHNICAL DOCUMENTATION FOR THE MAGNETOM SPECTRA INSTALLATION PROVIDES CLEAR WARNINGS AND INSTRUCTIONS REGARDING HELIUM FILLING. THIS EVENT OCCURRED IN (B)(6).

Description of Event or Problem · 1

IT WAS REPORTED TO SIEMENS THAT DURING SYSTEM INSTALLATION, A CONTRACTED SERVICE ENGINEER WAS HEAVILY BURNED ON HIS HANDS DURING HELIUM FILLING OF THE MAGNETOM SPECTRA SYSTEM. THE ENGINEER RECEIVED IMMEDIATE MEDICAL TREATMENT AND NO SURGICAL PROCEDURE WAS REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
258226 MAGNETOM SPECTRA SYSTEM, NUCLEAR MAGNETIC RESONANCE IMAGING LNH SIEMENS SHENZHEN MAGNETIC RESONANCE LTD. 10837643

Patients

Seq Age Sex Outcome Treatment
1 Death