FDA Adverse Event
Injury
Summary report: N
NUCLEUS FREEDOM IMPLANT WITH STRAIGHT ELECTRODE
MDR report key: 10405908
·
Received August 14, 2020
Report
- Report Number
- 6000034-2020-02138
- Event Type
- Injury
- Date Received
- August 14, 2020
- Date of Event
- July 8, 2020
- Report Date
- July 27, 2020
- Manufacturer
- COCHLEAR LTD
- Product Code
- MCM
- UDI-DI
- 09321502009317
- PMA / PMN Number
- P970051
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AR
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THIS REPORT IS SUBMITTED ON AUGUST 14, 2020.
Description of Event or Problem · 1
PER THE CLINIC, THE PATIENT DEVELOPED A SUBCUTANEOUS SEROMA AT THE IMPLANT SITE, AND WAS TREATED WITH ORAL STEROIDS FOR A DURATION OF 7 DAYS, AND A COMBINED ANTIBIOTIC/STEROID TOPICAL OINTMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 875250 | NUCLEUS FREEDOM IMPLANT WITH STRAIGHT ELECTRODE | NUCLEUS 24 COCHLEAR IMPLANT SYSTEM | MCM | COCHLEAR LTD | CI24RE (ST) | NA | 09321502009317 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 3 YR | Required Intervention |