BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM

    MDR report key: 1060892 · Received June 13, 2008

    Report

    Report Number
    6000034-2008-00329
    Event Type
    Injury
    Date Received
    June 13, 2008
    Date of Event
    May 23, 2008
    Report Date
    June 16, 2008
    Manufacturer
    COCHLEAR LTD.
    Product Code
    MCM
    PMA / PMN Number
    NA
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VE
    Reporter Occupation
    AUDIOLOGIST

    Narratives

    Additional Manufacturer Narrative · 1

    THIS IS A FINAL REPORT. THIS TYPE OF EVENT IS ADDRESSED IN THE DEVICE LABELING.

    Description of Event or Problem · 1

    PER THE AUDIOLOGIST, IN 2008 (APPROXIMATE DATE) THE PT'S DEVICE EXTRUDED AND THERE WAS DRAINAGE FROM THE SKIN FLAP. THE PT WAS TREATED WITH ANTIBIOTICS. SKIN FLAP ROTATION SURGERY WAS DONE ABOUT ONE MONTH LATER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM COCHLEAR IMPLANT MCM COCHLEAR LTD. CI24R (CA) NA

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention