FDA Adverse Event Injury Summary report: N

CI-1500-01

MDR report key: 23012040 · Received September 9, 2025

Report

Report Number
3006556115-2025-01209
Event Type
Injury
Date Received
September 9, 2025
Report Date
August 19, 2025
Manufacturer
ADVANCED BIONICS, LLC
Product Code
MCM
PMA / PMN Number
P960058
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: SECTION H.4 & D.4. DISCLAIMER: ADVANCED BIONICS DOES NOT INTEND THAT THIS REPORT BE ANY ADMISSION OF LIABILITY, FAULT OR PRODUCT DEFECT.

Additional Manufacturer Narrative · 0

DISCLAIMER: ADVANCED BIONICS DOES NOT INTEND THAT THIS REPORT BE ANY ADMISSION OF LIABILITY, FAULT OR PRODUCT DEFECT.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: SECTION D.6B. ADVANCED BIONICS CONSIDERS THE INVESTIGATION INTO THIS REPORTABLE EVENT AS CLOSED. THE REVISION SURGERY HAS BEEN POSTPONED INDEFINITELY. THE RECIPIENT IS REPORTEDLY WEARING THE DEVICE. ADDITIONAL INFORMATION REGARDING TREATMENT DETAILS WERE NOT PROVIDED. THIS IS THE FINAL REPORT. DISCLAIMER: ADVANCED BIONICS DOES NOT INTEND THAT THIS REPORT BE ANY ADMISSION OF LIABILITY, FAULT OR PRODUCT DEFECT.

Description of Event or Problem · 0

THE RECIPIENT REPORTEDLY ELECTED REVISION FOR A TECHNOLOGY UPGRADE. REVISION SURGERY IS SCHEDULED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2501448 CI-1500-01 COCHLEAR IMPLANT MCM ADVANCED BIONICS, LLC HIRES 90K¿ ADVANTAGE IMPLANT NA

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention