FDA Adverse Event Malfunction Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 1399489 · Received April 14, 2009

Report

Report Number
9710014-2009-00125
Event Type
Malfunction
Date Received
April 14, 2009
Date of Event
March 16, 2009
Report Date
April 1, 2009
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE, GMBH
Product Code
MCM
PMA / PMN Number
P000025
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 CALLED HER AUDIOLOGIST COMPLAINING THAT SHE WAS HAVING ISSUES WITH HER SPEECH PROCESSOR AND WAS EXPERIENCING POPPING NOISES AND STATIC. THE PATIENT WAS SHIPPED AN ENTIRE LOANER IMPLANT SYSTEM FROM THE AUDIOLOGIST'S CLINIC STOCK. THE PATIENT RECEIVED THE LOANER EQUIPMENT ON MARCH 18 AND AFTER USING IT, COMPLAINED THAT THE STATIC AND POPPING NOISES WERE STILL OCCURRING. THE PATIENT IS ALSO STRUGGLING TO UNDERSTAND SPEECH AND WAKES UP WITH A HEADACHE EVERY MORNING. UPON RECEIPT OF THIS INFORMATION ON MARCH 19, MED-EL CORP SENT A NEW CABLE TO THE PATIENT. UNFORTUNATELY, THE REPLACEMENT CABLE HAD NO EFFECT ON HER SITUATION. THE PATIENT'S CLINICIAN FEELS THAT IT IS AN INTERNAL DEVICE FAILURE. THE PATIENT WILL NOT BE ABLE TO ATTEND THE CLINIC UNTIL MID-APRIL.

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 63 YR