inforMED
InjuryMOS

PHILLIPS

Received Jul 15, 2009 · Event occurred Jul 2, 2009

Report MW5012001 · MDR key 1415185

Device

Generic name

Acheva 1.5t Body Coil

Manufacturer

Phillips

Product problems

  • Improper or Incorrect Procedure or Method

Patient

60 YR

  • Burn, Thermal

Narrative

Description of Event or Problem

PATIENT HAD MRI FOR TORN RIGHT BICEPS TENDON. EXTERNAL COIL USED APPEARS TO HAVE CAUSED AN RF BURN. THE CORD FROM THE COIL WAS TOO CLOSE TO THE PATIENT'S SKIN. DID NOT FOLLOW THE MANUFACTURER'S RECOMMENDATION TO PLACE ADDITIONAL PADDING BETWEEN THE PATIENT AND CORD.