FDA Adverse Event Malfunction Summary report: N

GN HEARING

MDR report key: 16909291 · Received May 11, 2023

Report

Report Number
3005650109-2023-00063
Event Type
Malfunction
Date Received
May 11, 2023
Date of Event
April 11, 2023
Report Date
May 12, 2023
Manufacturer
GN HEARING A/S
Product Code
OSM
UDI-DI
05708296254880
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MANUFACTURER'S REF: (B)(4). IT HAS BEEN REPORTED THAT RECEIVER BROKE A TIP(BLUE TIP WITH DOME ATTACHED REMAINED IN HIS EAR CANAL). THE PATIENT DID SEEK MEDICAL HELP TO REMOVE THE OBJECT FROM THE EAR. NO FURTHER SYMPTOMS WERE REPORTED. CLINICAL CONCLUSION IS THAT THE THIS HAS NOT CAUSED HARM TO THE PATIENT AND NO MEDICAL TREATMENT WAS PRESCRIBED. THE CLINICAL INVESTIGATION CONCLUDED THAT THE CURRENT CLINICAL EVALUATION AND RISK/BENEFIT CONCLUSIONS HEREIN ARE SUFFICIENT. TECHNICAL INVESTIGATION FROM THE TRENDED CASE STATES THAT THERE IS LESS GLUE AND THIS IS FURTHER IMPACTED BY EAR WAX. RISK ASSESSMENT: THE RISK IS DEEMED ACCEPTABLE. A DHR (L2326264172) REVIEW HAVE BEEN COMPLETED. NO DEVIATION OR CHANGES WERE FOUND DURING MANUFACTURING OF THE DEVICE. THIS IS A COMBINED INITIAL AND FINAL REPORT. MANUFACTURER'S INVESTIGATION IS FINAL.

Description of Event or Problem · 0

IT HAS BEEN REPORTED THAT RECEIVER BROKE A TIP(BLUE TIP WITH DOME ATTACHED REMAINED IN HIS EAR CANAL). THIS HAPPENED FOR THE FIRST TIME. THE PATIENT DID SEEK MEDICAL HELP TO REMOVE THE OBJECT FROM THE EAR. NO FURTHER SYMPTOMS WERE REPORTED. NO HARM CAUSED AND NO TREATMENT NEEDED. THE PATIENT HAS RECEIVED NEW REPLACEMENT DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1166067 GN HEARING HEARING AID, AIR-CONDUCTION WITH WIRELESS TECHNOLOGY, PRESCRIPTION OSM GN HEARING A/S 22420174 05708296254880

Patients

Seq Age Sex Outcome Treatment
1 Male