FDA Adverse Event
Injury
Summary report: N
HIRES 90K
MDR report key: 1273824
·
Received December 23, 2008
Report
- Report Number
- 3006556115-2008-00681
- Event Type
- Injury
- Date Received
- December 23, 2008
- Date of Event
- September 19, 2008
- Report Date
- December 5, 2008
- Manufacturer
- ADVANCED BIONICS LLC
- Product Code
- MCM
- PMA / PMN Number
- P960058
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BR
- Reporter Occupation
- AUDIOLOGIST
Narratives
Description of Event or Problem · 1
THE COMPANY WAS INFORMED THAT THE PATIENT'S DEVICE HAS BEEN EXPLANTED DUE TO SUBSEQUENT INFECTION AT THE IMPLANT SITE. THE PATIENT REPORTEDLY HAD A SEROMA AT THE IMPLANT SITE AND WAS GIVEN A BIOFILM DIAGNOSIS. THE PATIENT WAS PRESCRIBED WITH ANTIBIOTICS (CEFTRIAXONA, CEFALEXINA, TEICOPLANINA, AND VANCOMICINA) FOR 15 DAYS AFTER THE INITIAL INFECTION IN 2008, 15 DAYS AFTER THE FLAP SURGERY APPROXMATELY THREE MONTHS LATER, AND FOR 15 DAYS AFTER THE EXPLANT SURGERY THREE MONTHS LATER. THE PATIENT CONTINUES TO BE MONITORED BY THE CENTER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HIRES 90K | COCHLEAR IMPLANT | MCM | ADVANCED BIONICS LLC | CI-1400-01 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 3 YR | Required Intervention |