FDA Adverse Event Malfunction Summary report: N

NUCLEUS 22 CHANNEL COCHLEAR IMPLANT SYSTEM FOR ADULTS

MDR report key: 209405 · Received February 9, 1999

Report

Report Number
6000034-1999-00014
Event Type
Malfunction
Date Received
February 9, 1999
Date of Event
November 13, 1998
Report Date
February 8, 1999
Manufacturer
COCHLEAR LTD.
Product Code
MCM
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
AUDIOLOGIST

Narratives

Description of Event or Problem · 1

THE PT REPORTED NOT HEARING ON THREE ELECTRODES ON 07/01/1997. THE ELECTRODES WERE DEACTIVATED, RESOLVING HER COMPLAINT. ON 11/13/1998 THE HEALTH CARE PROFESSIONAL REPORTED THE DEVICE HAD BEEN EXPLANTED ELECTIVELY. THE DEVICE WAS ANALYZED AND FOUND TO HAVE MALFUNCTION (DRAFT ANALYSIS ON 01/14/1999).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NUCLEUS 22 CHANNEL COCHLEAR IMPLANT SYSTEM FOR ADULTS Implant 22 CHANNEL COCHLEAR IMPLANT FOR ADULTS MCM COCHLEAR LTD. CI22M NA

Patients

Seq Age Sex Outcome Treatment
1 46 YR