FDA Adverse Event Injury Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 2133475 · Received June 15, 2011

Report

Report Number
9710014-2011-00180
Event Type
Injury
Date Received
June 15, 2011
Date of Event
June 6, 2011
Report Date
June 7, 2011
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH
Product Code
MCM
PMA / PMN Number
P000025
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN EXPLANTED AND SHOULD 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 SUFFERED FROM MENINGITIS BEFORE IMPLANTATION OF HIS COCHLEAR IMPLANT. BECAUSE OF THIS, THE PT ALSO HAD OSSIFICATION, AND DURING IMPLANTATION THE STANDARD ELECTRODE ARRAY COULD ONLY GET INSERTED UP TO 4 - 5 ELECTRODE CHANNELS. IT WAS TRIED TO ADJUST THE FITTING MAP, BUT THE PT COULD NOT GET ANY BENEFIT. THE PT WAS EXPLANTED ON (B)(6) 2011.

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 PULSAR

Patients

Seq Age Sex Outcome Treatment
1 46 YR Required Intervention