FDA Adverse Event
Injury
Summary report: N
INGENIA ELITION X
MDR report key: 9888799
·
Received March 27, 2020
Report
- Report Number
- MW5093952
- Event Type
- Injury
- Date Received
- March 27, 2020
- Date of Event
- February 5, 2020
- Report Date
- March 26, 2020
- Manufacturer
- PHILIPS MEDICAL SYSTEMS NEDERLAND B. V.
- Product Code
- LNH
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- BG
- Reporter Occupation
- NO INFORMATION
Narratives
Description of Event or Problem · 1
MRI BURNOUT; ON FEBRUARY 5TH, THE MRI SCANNER SUPPLIED BY PHILIPS HEALTHCARE / MEDICAL SYSTEMS, (B)(4) HAS BURNT. THE FIRE / SMOKE STARTED FROM MAGNET. THERE WAS A SMOKE DURING PATIENT SCAN AND SCAN WAS STOPPED AND ASKED PHILIPS ENGINEER TO VISIT TO CHECK THE PROBLEM. DURING ENGINEER TESTING THE PHANTOM SCANS SMOKE EMITTED FROM MAGNET AND COMPLETE MRI WAS BURNT. FORTUNATELY, THERE WAS NOT PT DURING THIS TIME. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 351819 | INGENIA ELITION X | SYSTEM, NUCLEAR MAGNETIC RESONANCE IMAGING | LNH | PHILIPS MEDICAL SYSTEMS NEDERLAND B. V. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Life Threatening| O| R |