FDA Adverse Event Malfunction Summary report: N

HIRES¿ ULTRA IMPLANT

MDR report key: 23717439 · Received December 4, 2025

Report

Report Number
3006556115-2025-01664
Event Type
Malfunction
Date Received
December 4, 2025
Date of Event
November 26, 2025
Report Date
November 28, 2025
Manufacturer
ADVANCED BIONICS, LLC
Product Code
MCM
UDI-DI
07630016861727
PMA / PMN Number
P960058
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: SECTION D.9. HE EXPLANTED DEVICE WAS RECEIVED AT ADVANCED BIONICS ON MAY 18, 2026. ADVANCED BIONICS IS CURRENTLY ATTEMPTING TO OBTAIN CONSENT FROM THE RECIPIENT. THE DEVICE REMAINS INTACT IN A LOCKED VAULT AT AB, LLC UNTIL CONSENT IS OBTAINED. 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

A REVIEW OF THE RECIPIENT¿S TEST DATA INDICATED IMPEDANCE ISSUES, DESPITE DEVICE TESTING WITHIN NORMAL LIMITS. THE RECIPIENT'S DEVICE WAS EXPLANTED. THE RECIPIENT WAS RE-IMPLANTED WITH ANOTHER ADVANCED BIONICS COCHLEAR DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
273553 HIRES¿ ULTRA IMPLANT COCHLEAR IMPLANT MCM ADVANCED BIONICS, LLC CI-1600-04 NA 07630016861727

Patients

Seq Age Sex Outcome Treatment
1 37 YR Female