FDA Adverse Event Malfunction Summary report: N

NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM

MDR report key: 2090131 · Received May 16, 2011

Report

Report Number
6000034-2011-00348
Event Type
Malfunction
Date Received
May 16, 2011
Date of Event
May 13, 2011
Report Date
February 13, 2012
Manufacturer
COCHLEAR LTD.
Product Code
MCM
PMA / PMN Number
970051
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
AUDIOLOGIST

Narratives

Additional Manufacturer Narrative · 1

(B)(4). DEVICE NOT AVAILABLE FOR ANALYSIS.

Additional Manufacturer Narrative · 1

DEVICE COIL IS NOT AVAILABLE FOR ANALYSIS. THIS REPORT IS FILED (B)(4) 2012. COIL NOT AVAILABLE FOR ANALYSIS.

Description of Event or Problem · 1

PER THE CLINIC, THE PATIENT REPORTED THAT THE EXTERNAL TRANSMITTER COIL BECAME HOT DURING USE. THERE WERE NO REPORTS OF PATIENT INJURY. THE INCIDENT IS UNDER INVESTIGATION AND THE DEVICE HAS BEEN REMOVED FROM SERVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM MCM MCM COCHLEAR LTD. N/A N/A

Patients

Seq Age Sex Outcome Treatment
1 6 YR Required Intervention