FDA Adverse Event Malfunction Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 2181188 · Received July 8, 2011

Report

Report Number
9710014-2011-00212
Event Type
Malfunction
Date Received
July 8, 2011
Date of Event
June 1, 2011
Report Date
July 5, 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 AT THE END OF (B)(6), THE PT, WHO IS A BILATERAL USER, WAS WEARING HIS RIGHT PROCESSOR ONLY AND HIS MOTHER NOTICED HE WAS NOT HEARING ANYTHING. SHE THEN TURNED HIS LEFT PROCESSOR ON AND HE SEEMED TO BE HEARING FINE. SHE THEREFORE, CONTACTED THE CLINIC AND A REPLACEMENT PROCESSOR WAS SENT OUT FOR THE RIGHT EAR. HOWEVER, THIS MADE NO DIFFERENCE AND THE PT WAS SEEN AT THE CLINIC ON (B)(6) 2011, FOR A CHECKUP. TESTING SHOWED 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 SONATA

Patients

Seq Age Sex Outcome Treatment
1 3 YR