MRI IMAGING

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-06-12 for MRI IMAGING manufactured by Unk.

Event Text Entries

[77633927] I was given a mri with a gadolinium contrast iv to image my lower extremities in a test for kidney issues. The test instantly caused nausea, hives, and an histamine like reaction throughout my body. After the test and still continuing a year later, i have been suffering deep bone pain, lesions on my skin, and joint pain.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5070398
MDR Report Key6639633
Date Received2017-06-12
Date of Report2017-06-12
Date of Event2016-06-20
Date Added to Maude2017-06-14
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 1

Brand NameMRI IMAGING
Generic NameSYSTEM, NUCLEAR MAGNETIC RESONANCE IMAGING
Product CodeLNH
Date Received2017-06-12
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK

Device Sequence Number: 2

Brand NameGADOLINIUM CONTRAST
Generic NameMEDIUM, CONTRAST, RADIOLOGIC
Product CodeKTA
Date Received2017-06-12
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-06-12

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