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