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 |