FDA Adverse Event Injury Summary report: N

MAGNETOM SKYRA

MDR report key: 8539464 · Received April 23, 2019

Report

Report Number
3002808157-2017-00880
Event Type
Injury
Date Received
April 23, 2019
Date of Event
October 2, 2014
Report Date
December 19, 2016
Manufacturer
SIEMENS HEALTHCARE GMBH
Product Code
LNH
PMA / PMN Number
K141977
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ELECTRODES USED ARE LABELED MR CONDITIONAL BY THE MANUFACTURER, HOWEVER, THE USE OF THE ELECTRODES IS NOT APPROVED BY SIEMENS. (UNILECTTM 4841P ELECTRODES, UNOMEDICAL LTD. (B)(4)). THIS EVENT OCCURRED IN (B)(6).

Description of Event or Problem · 1

SIEMENS BECAME AWARE OF AN ADVERSE EVENT INVOLVING A SIEMENS MAGNETOM SKYRA SYSTEM THROUGH AN ARTICLE PUBLISHED IN THE JOURNAL OF RADIOLOGY AND IMAGING. AN UNUSUAL CASE OF A THIRD DEGREE SKIN BURN WAS REPORTED USING MRI ELECTROCARDIOGRAPHIC LEADS. THE ELECTRODES ARE LABELED MR CONDITIONAL BY THE MANUFACTURER, HOWEVER, THE ELECTRODES ARE NOT A SIEMENS APPROVED PRODUCT. THE VENDOR OF THE ELECTRODES WAS INFORMED BY THE USER WHEN THE INCIDENT OCCURRED, HOWEVER, SIEMENS WAS NOT INFORMED OF THE INCIDENT AS NO MALFUNCTION OF THE SIEMENS SYSTEM WAS OBSERVED. THE PATIENT DID NOT REQUIRE ANY MEDICAL TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
333663 MAGNETOM SKYRA SYSTEM, NUCLEAR MAGNETIC RESONANCE IMAGING LNH SIEMENS HEALTHCARE GMBH 10432914

Patients

Seq Age Sex Outcome Treatment
1 59 YR Other