FDA Adverse Event Malfunction Summary report: N

NUCLEUS 22 CHANNEL COCHLEAR IMPLANT SYSTEM

MDR report key: 1082092 · Received July 25, 2008

Report

Report Number
6000034-2008-00406
Event Type
Malfunction
Date Received
July 25, 2008
Date of Event
January 16, 2007
Report Date
June 24, 2008
Manufacturer
COCHLEAR LTD.
Product Code
MCM
PMA / PMN Number
840024
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT WAS FILED ON JULY 24, 2008.

Description of Event or Problem · 1

PER THE AUDIOLOGIST, THE ELECTRODE ARRAY OF THE PT'S DEVICE WAS PARTIALLY INSERTED AT THE INITIAL IMPLANT SURGERY. IN 2007, THE PT REPORTED INTERMITTENCIES AND POOR SOUND QUALITY WHEN USING THE DEVICE. RESULTS OF AN INTEGRITY TEST DONE IN 2007, WERE CONSISTENT WITH NORMAL RECEIVER/STIMULATOR FUNCTION WITH TWO FAULTY ELECTRODES. REPROGRAMMING THE SOUND PROCESSOR WAS RECOMMENDED. THE PT'S DEVICE WAS EXPLANTED EIGHT MONTHS LATER, AND A NEW DEVICE WAS REIMPLANTED DURING THE SAME SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NUCLEUS 22 CHANNEL COCHLEAR IMPLANT SYSTEM MCM COCHLEAR LTD. CI22M NA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention