FDA Adverse Event Malfunction Summary report: N

CLARION¿ IMPLANT

MDR report key: 23215754 · Received October 3, 2025

Report

Report Number
3006556115-2025-01412
Event Type
Malfunction
Date Received
October 3, 2025
Date of Event
October 7, 2025
Report Date
September 30, 2025
Manufacturer
ADVANCED BIONICS, LLC
Product Code
MCM
PMA / PMN Number
P960058
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: SECTION B.3, D.6B. EXTERNAL EQUIPMENT WAS EXCHANGE, HOWEVER, THE ISSUE DID NOT RESOLVE. THE RECIPIENT'S DEVICE WAS EXPLANTED. THE RECIPIENT WAS RE-IMPLANTED WITH ANOTHER ADVANCED BIONICS COCHLEAR DEVICE. 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.9, H.6. ADVANCED BIONICS CONSIDERS THE INVESTIGATION INTO THIS REPORTABLE EVENT AS CLOSED. THE RECIPIENT HAS NOT PROVIDED CONSENT. AS A RESULT, NO CONCLUSION CAN BE DRAWN AT THIS TIME. IF CONSENT IS RECEIVED AT A LATER DATE, THE ISSUE WILL BE RE-OPENED AND THE RESULTS OF THE ANALYSIS WILL BE REPORTED. THE DEVICE REMAINS INTACT IN A LOCKED VAULT AT AB, LLC UNTIL CONSENT IS OBTAINED. THIS IS THE FINAL REPORT. 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.

Description of Event or Problem · 0

THE RECIPIENT IS REPORTEDLY EXPERIENCING INTERMITTENT LOCK AND POOR BATTERY LIFE. REVISION SURGERY IS SCHEDULED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
237282 CLARION¿ IMPLANT COCHLEAR IMPLANT MCM ADVANCED BIONICS, LLC AB-5100R NA

Patients

Seq Age Sex Outcome Treatment
1 36 YR Female