inforMED
MalfunctionHST

5 POUND TRACTION SHOT WEIGHT

Received Jan 27, 2022 · Event occurred Jun 2, 2021

Report 13366046 · MDR key 13366046

Device

Generic name

Apparatus, Traction, Non-powered

Model number

351

Catalog number

351

Product problems

  • Device Markings/Labelling Problem
  • Electromagnetic Compatibility Problem
  • Patient Device Interaction Problem

Patient

23360 DA · Male

  • Pain
  • Pain

Narrative

Description of Event or Problem

BAG, THOUGHT TO BE SAND BY STAFF, MADE IT INTO THE MAGNETIC RESONANCE IMAGING (MRI) SCANNER WITH PATIENT. MRI MAGNET HAD TO QUENCHED TO GET PATIENT OUT OF MRI, COULD HAVE CAUSED HARM TO PATIENT AND STAFF. IT DID CAUSE PAIN TO PATIENT BUT NO HARM. THE TAG ON THE BAG IDENTIFYING THE INTERNAL MATERIAL AS METALLIC AND NOT SAFE FOR MRI IS COMPLETELY INADEQUATE.