FDA Adverse Event Injury Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 1082291 · Received July 29, 2008

Report

Report Number
9710014-2008-00238
Event Type
Injury
Date Received
July 29, 2008
Date of Event
July 1, 2008
Report Date
July 15, 2008
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH
Product Code
MCM
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING AN ATTEMPT TO RE-POSITION THE PATIENT'S COCHLEAR IMPLANT, AS WELL AS SHAVE DOWN THE PATIENT'S SKIN FLAP, A PORTION OF THE ELECTRODE WAS ACCIDENTALLY WITHDRAWN FROM THE COCHLEAR. THE INCIDENT WAS REPORTED TO MED-EL CORP BY THE CLINICIAN, ALONG WITH AN ORDER FOR A NEW IMPLANT FOR THIS PATIENT. IN 2008, THE SURGEON RE-IMPLANTED THE PATIENT WITH THE NEW DEVICE WHICH HAD BEEN SHIPPED. THE ORIGINAL REVISION ATTEMPT HAD NOT BEEN REPORTED TO MED-EL PRIOR TO IT TAKING PLACE. THE RESULTING NECESSITY TO EXPLANT/RE-IMPLANT WAS DUE TO THE SURGEON'S ERROR DURING THE PREVIOUS REVISION ATTEMPT AND WAS IN NO WAY THE FAULT OF THE DEVICE.

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 SONATA

Patients

Seq Age Sex Outcome Treatment
1 74 YR Required Intervention