BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM

    MDR report key: 1932837 · Received December 20, 2010

    Report

    Report Number
    6000034-2010-00797
    Event Type
    Injury
    Date Received
    December 20, 2010
    Date of Event
    November 17, 2010
    Report Date
    July 17, 2012
    Manufacturer
    COCHLEAR LTD.
    Product Code
    MCM
    PMA / PMN Number
    970051
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    AUDIOLOGIST

    Narratives

    Additional Manufacturer Narrative · 1

    THE PATIENT WAS REIMPLANTED WITH A NEW DEVICE ON (B)(6), 2011. THIS REPORT IS FILED (B)(4), 2011.

    Additional Manufacturer Narrative · 1

    (B)(4).

    Additional Manufacturer Narrative · 1

    (B)(4)

    Description of Event or Problem · 1

    PER THE CLINIC, THE DEVICE WAS EXPLANTED DUE TO AN INFECTION (TYPE NOT REPORTED.) THE DEVICE WAS EXPLANTED ON (B)(6), 2010. IT IS UNKNOWN WHETHER THERE ARE THERE ARE PLANS TO REIMPLANT THE PATIENT AS OF THE DATE OF THIS REPORT, (B)(6), 2010.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM MCM, PRODUCT CODE: MCM MCM COCHLEAR LTD. CI24RE (CA) N/A

    Patients

    Seq Age Sex Outcome Treatment
    1 3 YR Required Intervention