FDA Adverse Event Injury Summary report: N

NUCLEUS CI24RE (CA) COCHLEAR IMPLANT WITH CONTOUR ADVANCE ELECTRODE

MDR report key: 10269076 · Received July 14, 2020

Report

Report Number
6000034-2020-01888
Event Type
Injury
Date Received
July 14, 2020
Report Date
May 11, 2020
Manufacturer
COCHLEAR LIMITED
Product Code
MCM
UDI-DI
09321502007320
PMA / PMN Number
P970051
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CORRECTION: THE CORRECT DATE OF AWARENESS IS MAY 11, 2020; NOT APRIL 15, 2020 AS PREVIOUSLY REPORTED ON JULY 14, 2020. DEVICE ANALYSIS REPORT ATTACHED. THIS REPORT IS SUBMITTED ON MAY 16, 2024.

Additional Manufacturer Narrative · 1

THIS REPORT IS SUBMITTED ON JULY 14, 2020.

Description of Event or Problem · 1

PER THE CLINIC, THE PATIENT EXPERIENCED OEDEMA AND INFECTION AT THE IMPLANT SITE. THE DEVICE WAS EXPLANTED ON (B)(6) 2020. IT IS UNKNOWN IF THERE ARE PLANS TO RE-IMPLANT THE PATIENT WITH ANOTHER DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
734996 NUCLEUS CI24RE (CA) COCHLEAR IMPLANT WITH CONTOUR ADVANCE ELECTRODE NUCLEUS 24 COCHLEAR IMPLANT SYSTEM MCM COCHLEAR LIMITED CI24RE(CA) N/A 09321502007320

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention