inforMED
InjuryMOS

8CH SHOULDER COIL 1, 5T IRF

Received Apr 16, 2013 · Event occurred Feb 28, 2013

Report 1056069-2013-00001 · MDR key 3069619

Device

Generic name

None

Manufacturer

Invivo Corp.

Model number

453530283041

Product problems

  • Insufficient Device Problem Information

Patient

47 YR

  • Partial thickness (Second Degree) Burn

Narrative

Description of Event or Problem

DURING A SCANNING PROCESS, THE PATIENT WAS POSITIONED SUPINE HEAD FIRST IN A PHILIPS INGENIA 1.5T SYSTEM. A SHOULDER COIL 8CH 1.5T WAS USED TO PERFORM A SHOULDER EXAMINATION. AFTER THE EXAMINATION, A SECOND DEGREE BLISTER OF 3 BY 4 CENTIMETER WAS OBSERVED ON THE RIGHT LOWER ARM.

Additional Manufacturer Narrative

(B)(4). EVALUATION 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.