FDA Adverse Event
Injury
Summary report: N
ASKU
MDR report key: 11874786
·
Received May 25, 2021
Report
- Report Number
- 6000034-2021-01575
- Event Type
- Injury
- Date Received
- May 25, 2021
- Report Date
- May 5, 2021
- Manufacturer
- COCHLEAR BONE ANCHORED SOLUTIONS AB
- Product Code
- LXB
- PMA / PMN Number
- K100360
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THIS REPORT IS SUBMITTED ON MAY 25, 2021.
Description of Event or Problem · 1
PER THE CLINIC, THE PATIENT EXPERIENCED AN INFECTION AT ABUTMENT SITE AND SUBSEQUENTLY WAS TREATED WITH TOPICAL ANTIBIOTIC CREAM (DATE AND DURATION NOT REPORTED).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 776785 | ASKU | COCHLEAR BAHA CONNECT SYSTEM | LXB | COCHLEAR BONE ANCHORED SOLUTIONS AB | ASKU | N/A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |