FDA Adverse Event Malfunction Summary report: N

BONEBRIDGE

MDR report key: 14460339 · Received May 20, 2022

Report

Report Number
9710014-2022-00345
Event Type
Malfunction
Date Received
May 20, 2022
Date of Event
May 10, 2022
Report Date
September 5, 2022
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH
Product Code
MPV
UDI-DI
09008738507205
PMA / PMN Number
P990052
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

CONCLUSION: THE INVESTIGATION RESULTS CONFIRMED THAT THE DEVICE HAS FAILED DUE TO AN EXTERNAL IMPACT. OTHER DAMAGES FOUND DURING INVESTIGATION ARE ATTRIBUTABLE TO THE REMOVAL SURGERY. ALL THE PROBLEMS GIVEN IN THE RECIPIENT REPORT APPEAR TO MATCH WELL WITH THIS FINDING. THIS IS A FINAL REPORT.

Description of Event or Problem · 0

INFORMATION WAS RECEIVED THAT THE DEVICE WAS EXPLANTED. THE USER REPORTED POOR SPEECH UNDERSTANDING WHEN USING THE DEVICE AFTER PLAYING ON THE TRAMPOLINE. THE USER WAS RE-IMPLANTED ON (B)(6) 2022.

Description of Event or Problem · 0

INFORMATION WAS RECEIVED THAT THE DEVICE WAS EXPLANTED. THE USER REPORTED POOR SPEECH UNDERSTANDING WHEN USING THE DEVICE AFTER PLAYING ON THE TRAMPOLINE. THE USER WAS PLAYING WITH HIS BROTHER AND THEY ACCIDENTALLY RAN INTO EACH OTHER. THE USER WAS RE-IMPLANTED ON (B)(6) 2022.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1186146 BONEBRIDGE BCI BONE CONDUCTION IMPLANT MPV MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH BCI601 BONE CONDUCTION IMPLANT 09008738507205

Patients

Seq Age Sex Outcome Treatment
1 8 YR Male Required Intervention