FDA Adverse Event Injury Summary report: N

VIBRANT SOUNDBRIDGE

MDR report key: 1980234 · Received February 1, 2011

Report

Report Number
3004230826-2011-00002
Event Type
Injury
Date Received
February 1, 2011
Report Date
January 26, 2011
Manufacturer
VIBRANT MED-EL HEARING TECHNOLOGY GMBH
Product Code
MPV
PMA / PMN Number
P990052
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN EXPLANTED AND SHOULD BE RETURNED TO THE MANUFACTURER FOR EVALUATION. WHEN AVAILABLE, A DEVICE FAILURE ANALYSIS WILL BE SUBMITTED AS A FOLLOW UP REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT SUFFERED FROM PAIN AT THE IMPLANTED AREA, WHICH DEVELOPED TO HEADACHE. SHE ALSO SUFFERED FROM A DISTURBING SOUND. THE PATIENT WAS EXPLANTED ON (B)(6) 2011.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VIBRANT SOUNDBRIDGE MIDDLE EAR IMPLANT MPV VIBRANT MED-EL HEARING TECHNOLOGY GMBH VORP

Patients

Seq Age Sex Outcome Treatment
1 77 YR Required Intervention