SIGNA PET/MR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2017-04-27 for SIGNA PET/MR manufactured by Ge Medical Systems, Llc.

Event Text Entries

[73860832] There are no additional device identification numbers. Tomographic imager combining emission computed tomography with nuclear magnetic resonance ge healthcare's investigation is ongoing. A follow up report will be submitted once the investigation has been completed. Device evaluation anticipated, but not yet begun.
Patient Sequence No: 1, Text Type: N, H10


[73860833] It was initially reported that a patient, who was wearing ear plugs, complained of not being able to hear after a mri exam. The patient was sent to the site's nursing station for care, however no details were provided that the patient required or received medical treatment. The site followed up the following day and the patient said that it had improved but not fully. The customer later confirmed that the patient had mild sensorineural hearing loss at 2 khz in the right ear. Baseline hearing was not known.
Patient Sequence No: 1, Text Type: D, B5


[96885588] The investigation by ge healthcare has been completed. Acoustic measurements were performed on the pet/mr system and based on the testing completed, it was concluded that the pet/mr system met the (b)(4) requirements and osha levels. The system was operating within the regulatory limits. System logs were reviewed and no unusual errors that may have indicated gradient subsystem failures or other contributing factors to potential high acoustic noise were identified. The likely primary root cause of this event is a patient medical condition that caused sensitivity to acoustic levels. No systemic product issue was identified. However, due to the additional engineering investigation that was performed, the customer? S gradient coil was replaced.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2183553-2017-00006
MDR Report Key6527096
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2017-04-27
Date of Report2017-07-18
Date of Event2016-01-20
Date Mfgr Received2017-07-14
Device Manufacturer Date1970-01-01
Date Added to Maude2017-04-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJACQUI BUDDE
Manufacturer Street3200 N. GRANDVIEW BLVD.
Manufacturer CityWAUKESHA WI
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSIGNA PET/MR
Generic NameTOMOGRAPHIC IMAGER COMBINING
Product CodeOUO
Date Received2017-04-27
ID NumberNOT APPLICABLE
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerGE MEDICAL SYSTEMS, LLC
Manufacturer Address3200 N. GRANDVIEW BLVD. WAUKESHA WI US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-04-27

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