FDA Adverse Event Injury Summary report: N

NON-INVASIVE VITAL SIGN OMNITRAK

MDR report key: 85546 · Received July 1, 1996

Report

Report Number
85546
Event Type
Injury
Date Received
July 1, 1996
Date of Event
April 11, 1996
Report Date
April 12, 1996
Manufacturer
INVIVO RESEARCH, INC.
Product Code
DRT
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
OH, US
Reporter Occupation
RADIOLOGIC TECHNOLOGIST

Narratives

Description of Event or Problem · 1

MRI WAS PERFORMED ON SEDATED PT ON 4/11/96. NON-INVASIVE CARDIAC MONITOR WAS USED. ELECTRODES WERE USED WITH MONITOR. FOUR ELECTRODES WERE PLACED ON THE PT. IMMEDIATELY POST MRI, ELECTRODES WERE REMOVED AND PT'S SKIN WAS ASSESSED. 3 REDDENED AREAS THE SIZE OF THE ENTIRE ELECTRODE WERE NOTED AND THE FOURTH ELECTRODE WAS OFF PT. HOWEVER, PRIOR TO THE PROCEDURE, THE STAFF WAS CERTAIN THAT ALL 4 ELECTRODES WERE PLACED SECURELY ON PT AND THE WIRES WERE NOT CROSSED. SOON AFTER INITIAL ASSESSMENT, REDDENED AREAS APPEARED TO BE BURNS. PT WAS PERSPIRING SLIGHTLY POST MRI. PT HAD NO ALLERGIES TO TAPE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NON-INVASIVE VITAL SIGN OMNITRAK CARDIAC MONITOR DRT INVIVO RESEARCH, INC. 3100 *

Patients

Seq Age Sex Outcome Treatment
1 51 YR Required Intervention #M 3M RED DOT ELECTRODES #2246