SENSE SHOULDER COIL 1.5T 4CH
Received Feb 3, 2015 · Event occurred Jan 9, 2015
Report 1056069-2015-00004 · MDR key 4487167
Device
Product problems
- Insufficient Device Problem Information
Patient
57 YR
- Tingling
- Partial thickness (Second Degree) Burn
- Partial thickness (Second Degree) Burn
Narrative
Additional Manufacturer Narrative
(B)(4). NO DEFINITE ROOT CAUSE FOR THE INJURY AS SUSTAINED BY THE PATIENT COULD BE DETERMINED. THE MOST LIKELY ROOT CASE IS A COMBINATION OF THE TECHNICIAN NOT USING ANY PATIENT VENTILATION IN COMBINATION WITH 8 CONSECUTIVE SCANS WITH HIGH SAR VALUES WITH-OUT PAUSES TO ALLOW FOR THE PATIENT BODY TO COOL DOWN.PRODUCT WAS NOT RETURNED TO THE MANUFACTURER, THE CUSTOMER HAS AN AGREEMENT WITH A THIRD PARTY SERVICE ORGANIZATION WHICH WAS UNABLE TO RETURN THE PRODUCT TO INVIVO.
Description of Event or Problem
A FEMALE PATIENT WAS POSITIONED HEAD FIRST SUPINE AND SCANNED WITH THE SHOULDER COIL FOR AN EXAMINATION OF THE LEFT SHOULDER. THE PATIENT STATED SHE FELT A TINGLING SENSATION AT THE TOP THE LEFT SHOULDER. AFTER THE EXAMINATION A SMALL BUMP WAS OBSERVED THAT DEVELOPED INTO A 4CM SIZE BLISTER ON TOP OF THE LEFT SHOULDER.
Additional Manufacturer Narrative
(B)(4). METHOD, RESULTS, CONCLUSIONS: THE INVESTIGATION IS STILL ONGOING ON THIS EVENT. WHEN THE INVESTIGATION IS COMPLETED A F/U REPORT WILL BE SENT TO THE FDA.
Remedial action
- Replace