FDA Adverse Event Injury Summary report: N

BIM400 IMPLANT MAGNET

MDR report key: 15757211 · Received November 8, 2022

Report

Report Number
6000034-2022-03373
Event Type
Injury
Date Received
November 8, 2022
Report Date
October 19, 2022
Manufacturer
COCHLEAR BONE ANCHORED SOLUTIONS AB
Product Code
LXB
PMA / PMN Number
K131240
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS SUBMITTED ON NOVEMBER 09, 2022.

Description of Event or Problem · 0

PER THE CLINIC, THE PATIENT EXPERIENCED CHRONIC PAIN AT IMPLANT SITE (SPECIFIC DATE NOT REPORTED). THE DEVICE WAS EXPLANTED ON (B)(6) 2022.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2456251 BIM400 IMPLANT MAGNET COCHLEAR BAHA ATTRACT SYSTEM LXB COCHLEAR BONE ANCHORED SOLUTIONS AB 93550 137707

Patients

Seq Age Sex Outcome Treatment
1 Female Required Intervention