FDA Adverse Event
Injury
Summary report: N
BIM400 IMPLANT MAGNET
MDR report key: 14641163
·
Received June 9, 2022
Report
- Report Number
- 6000034-2022-01688
- Event Type
- Injury
- Date Received
- June 9, 2022
- Date of Event
- May 20, 2022
- Report Date
- May 20, 2022
- Manufacturer
- COCHLEAR BONE ANCHORED SOLUTIONS AB
- Product Code
- LXB
- PMA / PMN Number
- K131240
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THIS REPORT IS SUBMITTED ON JUNE 09, 2022.
Description of Event or Problem · 0
PER THE AUDIOLOGIST, THE INTERNAL MAGNET WAS EXPLANTED ON (B)(6) 2022, DUE TO PAIN AND NON-USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2156001 | BIM400 IMPLANT MAGNET | COCHLEAR BAHA ATTRACT SYSTEM | LXB | COCHLEAR BONE ANCHORED SOLUTIONS AB | 93550 | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Female | Required Intervention |