FDA Adverse Event
Injury
Summary report: N
NUCLEUS HYBRID L24
MDR report key: 14682983
·
Received June 14, 2022
Report
- Report Number
- 6000034-2022-01687
- Event Type
- Injury
- Date Received
- June 14, 2022
- Date of Event
- May 12, 2022
- Report Date
- May 20, 2022
- Manufacturer
- COCHLEAR LTD
- Product Code
- PGQ
- UDI-DI
- 09321502012089
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PER THE CLINIC, THE PATIENT EXPERIENCED POOR PERFORMANCE WITH THE DEVICE. REPROGRAMMING ATTEMPTS WERE MADE; HOWEVER, THE ISSUE COULD NOT BE RESOLVED. THE DEVICE WAS EXPLANTED ON (B)(6) 2022. THE PATIENT WAS RE-IMPLANTED WITH A NEW DEVICE IN THE SAME PROCEDURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1250027 | NUCLEUS HYBRID L24 | NUCLEUS HYBRID COCHLEAR IMPLANT SYSTEM | PGQ | COCHLEAR LTD | CI24RE (L24) | NA | 09321502012089 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Male | Required Intervention |