FDA Adverse Event
Injury
Summary report: N
SONY CRE-E10 RIGHT
MDR report key: 19557666
·
Received June 17, 2024
Report
- Report Number
- MW5156308
- Event Type
- Injury
- Date Received
- June 17, 2024
- Date of Event
- June 12, 2024
- Report Date
- June 13, 2024
- Manufacturer
- WS AUDIOLOGY USA, INC.
- Product Code
- QDD
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
WHEN USING THE HEARING DEVICE I BEGAN HEARING A LOUD POPPING NOISE AND THEN MY LEFT EAR DRUM PRETTY SORE AND MUFFLED. WITH AN ENDOSCOPE I NOTICED A LARGE BLACK OPENING ON MY EAR DRUM CAUSED BY THE HEARING DEVICE. REF REPORT: MW5156309.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1654675 | SONY CRE-E10 RIGHT | SELF-FITTING AIR-CONDUCTION HEARING AID, PRESCRIPTION | QDD | WS AUDIOLOGY USA, INC. | CRE-E10 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 40 YR | Male | Required Intervention |