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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. PHILIPS; COIL, MAGNETIC RESONANCE, SPECIALTY

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PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. PHILIPS; COIL, MAGNETIC RESONANCE, SPECIALTY Back to Search Results
Model Number SENTINELLE SMS 16CH BREAST 1.5T
Medical Device Problem Codes Improper or Incorrect Procedure or Method (2017); Insufficient Device Problem Information (3190)
Health Effect - Clinical Codes Burn(s) (1757); Insufficient Information (4580)
Date of Event 03/22/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Philips has started an investigation, a follow up report will be submitted once the investigation has been completed.This incident has also already been reported to you via the distributor siemens under number 3002808157-2026-0000.
 
Event or Problem Description
Philips received a report about a potential heating incident during a breast examination whilst using the 16 channel breast coil.It was reported the patient complained of a burn on the underside of both breasts.No other clinical or medical information was provided.
 
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Brand Name
PHILIPS
Common Device Name
COIL, MAGNETIC RESONANCE, SPECIALTY
Manufacturer (Section D)
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
veenpluis 6
best 5684 PC
NL  5684 PC
Manufacturer (Section G)
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
veenpluis 6
best 5684 PC
NL   5684 PC
Manufacturer Contact
luis casillas lc
222 jacobs street
cambridge, MA 02141
MDR Report Key25040527
Report Number1056069-2026-000001
Device Sequence Number13206838
Product Code MOS
UDI-Device Identifier00884838081598
UDI-Public00884838081598
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K112112
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative,Distributor
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 07/09/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Model NumberSENTINELLE SMS 16CH BREAST 1.5T
Device Catalogue Number989603213622
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/03/2026
Supplement Date Received by Manufacturer06/30/2026
Initial Report FDA Received Date04/30/2026
Supplement Report FDA Received Date07/09/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention; Other;
Patient Age62 YR
Patient SexFemale
Patient Weight77 KG
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