FDA Adverse Event Malfunction Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 2093059 · Received April 15, 2011

Report

Report Number
9710014-2011-00121
Event Type
Malfunction
Date Received
April 15, 2011
Date of Event
April 3, 2011
Report Date
April 11, 2011
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH
Product Code
MCM
PMA / PMN Number
P000025
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS NOT BEEN EXPLANTED. IF IT SHOULD BE EXPLANTED, IT IS TO 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 REPORTED INTERMITTENCY WITH HER HEARING WITH HER IMPLANT OVER A MONTH AGO. A NEW SPEECH PROCESSOR WAS PROGRAMMED AND SENT TO HER, HOWEVER THIS DID NOT RESOLVE THE PROBLEM. ON SUNDAY, (B)(6) 2011, THE IMPLANT SUDDENLY STOPPED WORKING. SINCE THE EPISODE SHE HAS NOT HEARD ANY SOUND. TESTING CARRIED OUT CONFIRMED THAT THE DEVICE HAS MALFUNCTIONED.

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 26 YR