Posts Tagged ‘missile’
Thursday, February 18th, 2010
OK, I’ve been reading too many headlines in supermarket check-out aisles, but what else is a guy with an overactive imagination supposed to come up with?
You see, back in 1983 when GE was going through their pre-market approvals with the FDA for their first commercial clinical MRI system, they indicated that MRI suite safety minimally required ferromagnetic detection pre-screening. The only problem was, it hadn’t been invented yet!
Click Here For The Rest Of The Time-Traveling Story…
Tags: airport, death, detection, detector, FDA, ferromagnetic, GE, General Electric, hazard, healthcare, Hitachi, injury, metal, missile, MRI, Philips, physicist, projectile, regulation, safety, Siemens, Toshiba
Posted in Ferromagnetic Detection for MRI Safety | No Comments »
Thursday, February 4th, 2010
This week the settlement documents were released — closing the chapter on the lawsuit that arose from the seminal event in MRI safety, the 2001 oxygen tank fatality of then-six-year-old Michael Colombini.
Click To Learn More About The Accident And Settlement…
Tags: accident, civil, colombini, death, fatality, ferromagnetic, hazard, imaging, injury, lawsuit, liability, magnet, magnetic, magnetic resonance, medical, metal, missile, MR, MRI, patient, projectile, radiology, regulation, resonance, safety, screening, suit, trial
Posted in Ferromagnetic Detection for MRI Safety, Other MRI Safety | 2 Comments »
Sunday, January 24th, 2010
It is the stuff of fabled oral-histories, often dismissed as MRI urban-legend. The patient is wheeled into the MRI room on a gurney that goes flying toward the scanner. “How on Earth could these accidents happen when we know about these risks,” the skeptics question? Almost never does more than a single fragment of information surface about these sorts of accidents and, without verification, nearly all accounts can be erroneously written-off as fiction. Or, that was until enough pieces fell into place to conclusively document a recent episode… Click Here To Read More About MRI Gurney Accidents…
Woman On Hospital Gurney 'Sandwiched' Against MRI :
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Tags: accident, accreditation, death, detection, detector, FDA, ferromagnetic, hazard, imaging, injury, magnetic, magnetic resonance, MAUDE, medical, metal, missile, MR, MRI, patient, projectile, radiology, regulation, resonance, risk, safety, screening, suit
Posted in Ferromagnetic Detection for MRI Safety, Other MRI Safety | 3 Comments »
Friday, January 8th, 2010
Yesterday I was provided a copy of an anonymized MRI accident / incident report which described how an MRI patient wearing a ThermaCare HeatWrap (something of a self-warming patch for muscle aches) had the wrap pulled off of them by the magnetic attraction of the MRI.
ThermaCare HeatWrap Products Contain Iron And May Be Drawn Into MRI Scanners
Click To Read More About This Incident And How To Prevent Similar Accidents From Occurring…
Tags: accident, detector, ferromagnetic, ferrous, hazard, heat, imaging, injury, iron, magnet, metal, missile, MRI, near-miss, projectile, resonance, risk, SAFESCAN, safety, screening, ThermaCare, wrap
Posted in Ferromagnetic Detection for MRI Safety, Other MRI Safety | 1 Comment »
Wednesday, November 18th, 2009
For a couple of months, at least, the FDA’s MAUDE database wasn’t displaying all of the accident narratives online… This appears to have been fixed!
A number of the MRI accident reports, when the narratives weren’t appearing, were little more than the name and mailing address of the MRI manufacturer. Today, if you want to read about the MR Technologist who had a pair of scissors magnetically-impelled into his forehead, you can do so. So Click Here If You’re Curious…
Tags: accident, database, device, FDA, hazard, imaging, injury, magnetic, MAUDE, MDR, medical, missile, MRI, projectile, resonance, risk, safety, scissors
Posted in Ferromagnetic Detection for MRI Safety, Other MRI Safety | 3 Comments »
Wednesday, September 30th, 2009
Yes, I think I’ve written at least twice before about the imminent start of the trial for the civil lawsuit stemming from the Michael Colombini fatal MRI accident in 2001. And, yes, I was wrong both times before. So, I would expect nothing less than readers of this entry to take my 3rd prognostication of the start of the trial with something more than a grain of salt… perhaps an entire salt lick! But today a little birdie told me that there’s a hole in the otherwise-booked New York Supreme Court trial schedule for late October / early November and the Colombini trial may just fit right in there.
Click Here To Read More About The Trial…
Tags: accident, civil, colombini, cylinder, death, fatality, ferromagnetic, hazard, hospital, injury, judge, lawsuit, lawyer, magnet, missile, motion, MRI, oxygen, patient, projectile, radiology, safety, sue, tank, Technologist, translational, trial, Westchester
Posted in Other MRI Safety | No Comments »
Friday, September 18th, 2009
For those unfamiliar with the term, a ‘never event’ is a label used to describe an adverse event that is wholly avoidable by simply following established best practices. For example, if you have an accurate count of the surgical instruments before and after surgery, there should never be an event where the patient leaves the OR with a sponge or clamp sewn up inside of them. A retained surgical instrument, or wrong-site surgery, or bed-sores, or patient mis-identification, or medication errors are all examples of ‘never events’.
Some insurance payers are beginning to refuse reimbursement for care that is necessitated by certain ‘never events’, and that list is likely to grow. And while they may not always result in patient injury, I’d like to propose my own list of 5 MRI ‘never events’ which should at least trigger an investigation…
Click To Read The 5 MRI Never Events…
Tags: access control, accident, burn, contraindicated, deposition, device, Gadolinium, GFR, implant, injury, kidney, magnetic, medical, missile, MRI, near-miss, never event, NSF, payer, projectile, renal, resonance, RF, SAR, screening, translational, zones
Posted in Ferromagnetic Detection for MRI Safety, Other MRI Safety | 4 Comments »
Wednesday, September 16th, 2009
I like to keep my finger on the pulse of MRI accidents and safety issues. One consequence of this is that I frequent the FDA’s MAUDE database (MAUDE is a tortured acronym for medical device user-reported mishaps). I have long criticized the FDA for their half-hearted efforts at collecting MRI accident data (which, in fairness, appears to be as much a product of congressional limitations on the FDA’s power as anything else), but MAUDE has been the only national database for these accidents that is publicly accessible.
Every so often there is an MRI accident description that is so stunning that it sends a jolt through me, reminding me why I do what I do. This is the entry that I came across just two weeks ago…
Click Here For The Jolting Description…
Tags: accident, database, death, FDA, imaging, injury, magnetic, MAUDE, Medwatch, missile, MRI, online, projectile, radiology, report, resonance, safety, scissors, Technologist
Posted in Other MRI Safety | 14 Comments »
Sunday, August 23rd, 2009
Last month, the judge in the Michael Colombini lawsuit (the case resulting from the infamous death by oxygen tank / cylinder brought into the MRI room while the boy was in the scanner) decided on three of the last outstanding pre-trial motions. The Judge’s decisions appear to have excused one defendant, entirely, and tempered the degree of potential liability for others.
Click Here To Learn Who’s In, And Who’s Out…
Tags: colombini, court, death, fatality, ferromagnetic, injury, lawsuit, legal, liability, magnet, magnetic resonance, metal, missile, MRI, New York, patient, projectile, radiologist, radiology, risk, safety, suit, Technologist, trial, Westchester
Posted in Ferromagnetic Detection for MRI Safety, Other MRI Safety | 10 Comments »
Friday, May 22nd, 2009
One of the most oft-cited rationalizations for not complying with contemporary best practices that call for using ferromagnetic detection (FMD) for MRI pre-screening is that ‘FMD doesn’t catch anything that existing screening protocols aren’t meant to catch.’ What you may find surprising about this statement is that I agree with it wholeheartedly… I would just change the inflection a bit. I would say it more like…
Ferromagnetic detection doesn’t catch anything that existing screening protocols aren’t meant to catch.
That inflection makes a world of difference, as you’ll see in just a moment…
Click These Words Here To See What I Mean…
Office Chair Sucked Into MRI:
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Tags: accident, care, detection, detector, fatality, ferromagnetic, hazard, injury, magnet, magnetic resonance, metal, missile, MR, MRI, patient, photo, picture, projectile, risk, safety, screening, standard, Technologist, translational, video
Posted in Ferromagnetic Detection for MRI Safety | 2 Comments »