inforMED
MalfunctionMOS

GENERAL ELECTRIC

Received Jul 27, 1999 · Event occurred Jun 30, 1999

Report MW1016819 · MDR key 233511

Device

Generic name

Flex Coil

Model number

*

Catalog number

*

Lot number

*

Product problems

  • Overheating of Device

Patient

*

  • Erythema
  • Therapy/non-surgical treatment, aborted/stopped
  • Therapy/non-surgical treatment, additional
  • Burn, Thermal

Narrative

Description of Event or Problem

PT ARRIVED FOR MRI OF LEFT KNEE. HER LEG WOULD NOT FIT EXTREMITY COIL; THEREFORE, (2) TWO FLEX COILS AND A DUAL ADAPTER WERE USED. AFTER THE SECOND SEQUENCE, PT COMPLAINED OF "BURNING" AT MEDIAL ASPECT OF HER RIGHT ANKLE. PT WAS REMOVED FROM SCANNER AND EVALUATED. PT'S SKIN WAS ERYTHEMIC, ABOUT 1 INCH LONG AND 1/2 INCH WIDE; THE COIL FELT WARM. A PHYSICIAN SAW THE PT, AND THE PT WAS INSTRUCTED TO APPLY NEOSPORIN IF THE AREA BLISTERED. A FOLLOW-UP CALL WAS MADE TO THE PT ON 7/1/99. PT STATED HER LEG WAS BETTER AND THE RED AREA WAS GONE.