FDA Adverse Event Injury Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 1030087 · Received April 16, 2008

Report

Report Number
9710014-2008-00122
Event Type
Injury
Date Received
April 16, 2008
Date of Event
March 3, 2008
Report Date
April 9, 2008
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE, GMBH
Product Code
MCM
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN EXPLANTED AND SHOULD BE RETURNED TO THE MFR FOR EVALUATION. WHEN AVAILABLE, A DEVICE FAILURE WILL BE SUBMITTED AS A FOLLOW UP REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PT WAS RE-IMPLANTED IN 2008, HOWEVER, MED-EL WAS NOT AWARE OF THE SCHEDULED REIMPLANTATION. TESTING CONFIRMED THAT THE DEVICE HAS MALFUNCTIONED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM COCHLEAR IMPLANT MCM MED-EL ELEKTROMEDIZINISCHE GERAETE, GMBH PULSAR

Patients

Seq Age Sex Outcome Treatment
1 30 MO Required Intervention