inforMED
InjuryMOS

SENSE SHOULDER COIL 1.5T 4CH

Received Jun 19, 2012 · Event occurred May 29, 2012

Report 1056069-2012-00002 · MDR key 2629262

Device

Manufacturer

Invivo Corporation

Model number

9698-030-03432

Catalog number

800198

Product problems

  • Device Operates Differently Than Expected

Patient

57 YR

  • Partial thickness (Second Degree) Burn

Narrative

Description of Event or Problem

THE PT WAS POSITIONED HEAD FIRST IN A SUPINE POSITION FOR AN MR SCAN. AN INVIVO SENSE SHOULDER COIL WAS USED WITH A PHILIPS MR 1.5T MAGNET SYSTEM. AFTER THE MR SCAN WAS COMPLETE, A SECOND DEGREE BURN (2 CM BLISTER) WAS OBSERVED ON THE SAME SHOULDER WHERE THE COIL WAS APPLIED.

Additional Manufacturer Narrative

(B)(4). (EVAL METHOD, RESULTS, CONCLUSIONS): THE INVESTIGATION IS STILL ONGOING ON THIS EVENT. WHEN THE INVESTIGATION IS COMPLETED A FOLLOW UP REPORT WILL BE SENT TO THE FDA.