FDA Adverse Event Malfunction Summary report: N

COMBI C40

MDR report key: 19803065 · Received July 23, 2024

Report

Report Number
9710014-2024-00647
Event Type
Malfunction
Date Received
July 23, 2024
Date of Event
July 19, 2024
Report Date
January 20, 2025
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH
Product Code
MCM
PMA / PMN Number
P000025
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

CONCLUSION: DEVICE INVESTIGATION CONFIRMED THAT THE STIMULATOR ELECTRONICS IS NOT WORKING ACCORDING TO SPECIFICATIONS. BASED ON THE MANUFACTURER'S EXPERIENCE WITH THIS KIND OF DEVICES, IT CAN BE ASSUMED THAT THE DEVICE HAS FAILED DUE TO LOSS OF HERMETICITY AT THE HOUSING BRAZE JOINT. THE INVESTIGATION RESULTS APPEAR TO MATCH THE PROBLEMS MENTIONED IN THE RECIPIENT REPORT. THIS IS A FINAL REPORT.

Additional Manufacturer Narrative · 0

THE DEVICE HAS NOT BEEN EXPLANTED. IF IT SHOULD BE EXPLANTED, IT SHOULD BE RETURNED TO THE MANUFACTURER FOR EVALUATION. WHEN AVAILABLE, A DEVICE FAILURE ANALYSIS WILL BE SUBMITTED AS A FOLLOW UP REPORT.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: ACCORDING TO THE COMPLAINT INFORMATION AND THE MANUFACTURER_S EXPERIENCE WITH THIS KIND OF DEVICE, IT IS ASSUMED THAT THE DEVICE MIGHT HAVE FAILED DUE TO HUMIDITY INGRESS AT THE HOUSING BRAZE JOINT THROUGH MICRO-LEAKS. HOWEVER TO DETERMINE AN EXACT ROOT CAUSE OF FAILURE A DEVICE INVESTIGATION OF THE EXPLANTED DEVICE WOULD BE NECESSARY. FURTHER MEDICAL INTERVENTION IS CONSIDERED BUT NO DATE HAS BEEN SCHEDULED YET.

Description of Event or Problem · 0

THE USERS HEARING PERFORMANCE WITH THE DEVICE IS AFFECTED. THE USER WAS REIMPLANTED.

Description of Event or Problem · 0

THE USERS HEARING PERFORMANCE WITH THE DEVICE IS AFFECTED.

Description of Event or Problem · 0

THE USERS HEARING PERFORMANCE WITH THE DEVICE IS AFFECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2479286 COMBI C40 COCHLEAR IMPLANT MCM MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH C40+

Patients

Seq Age Sex Outcome Treatment
1 26 YR Female Required Intervention