FDA Adverse Event Injury Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 2021423 · Received February 8, 2011

Report

Report Number
9710014-2011-00046
Event Type
Injury
Date Received
February 8, 2011
Date of Event
January 18, 2011
Report Date
May 11, 2016
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH
Product Code
MCM
PMA / PMN Number
P000025
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AR
Reporter Occupation
AUDIOLOGIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS NOT BEEN EXPLANTED. IF IT SHOULD BE EXPLANTED, IT IS TO BE RETURNED TO THE MFR FOR EVAL. WHEN AVAILABLE, A DEVICE FAILURE ANALYSIS WILL BE SUBMITTED AS A F/U REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PT'S MOTHER INFORMED THE AUDIOLOGIST THAT THE PT WAS ON HIS BED, WITHOUT HIS SPEECH PROCESSOR, FEELING AS IF HIS HEAD HAD SWOLLEN UP. AFTER THAT, HE REFUSED TO USE THE SPEECH PROCESSOR BECAUSE OF DISCOMFORT. TESTING CARRIED OUT ON (B)(6) 2011, WAS PERFORMED AFTER THE EVENT WAS REPORTED BY HIS MOTHER. DURING THE CONTROL, THE AUDIOLOGIST DID NOT PERCEIVE ANY ABNORMALITY OF THE IMPLANT AREA AND COIL MAGNET RETENTION WAS NOT AFFECTED. AFTER A NEW FITTING WITH LOWER MCL'S, THE PT DISCOMFORT HAS DISAPPEARED, BUT HIS PERFORMANCE HAS DECREASED. INFLAMMATION OR TRAUMA HAVE BEEN RULED OUT BY THE CLINIC. IT IS KNOWN THAT SINCE 2004 THE REFERENCE ELECTRODE IS DAMAGED (PLEASE REFER TO MDR 9710014-2004-00087).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM COCHLEAR IMPLANT MCM MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH C40+

Patients

Seq Age Sex Outcome Treatment
1 18 YR Male Required Intervention