BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

    MDR report key: 1082327 · Received July 29, 2008

    Report

    Report Number
    9710014-2008-00234
    Event Type
    Malfunction
    Date Received
    July 29, 2008
    Date of Event
    July 1, 2008
    Report Date
    July 10, 2008
    Manufacturer
    MED-EL ELEKTROMEDIZINISCHE GERAETE, GMBH
    Product Code
    MCM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE HAS NOT BEEN EXPLANTED. IF IT SHOULD BE EXPLANTED, IT IS TO BE RETURNED TO THE MANUFACTURER FOR EVALUATION. WHEN AVAILABLE, A DEVICE FAILURE ANALYSIS WILL BE SUBMITTED AS A FOLLOW-UP REPORT.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE PATIENT HAD FALLEN OFF A LADDER WHILE AT WORK. HE HAD HIT HIS HEAD AND BROKEN HIS WRIST. AT THAT TIME THE PATIENT WAS NOT ABLE TO HEAR ANY SOUND. LATER, AFTER THE PATIENT HAD EXCHANGED ALL HIS EXTERNAL EQUIPMENT, HE WAS STILL NOT ABLE TO HEAR ANY SOUND. THERE WERE NO REPORTS OF HEADACHES OR OTHER HEAD INJURIES.

    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 C40+

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR