FDA Adverse Event Injury Summary report: N

NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM

MDR report key: 2466182 · Received February 23, 2012

Report

Report Number
6000034-2012-00330
Event Type
Injury
Date Received
February 23, 2012
Date of Event
December 20, 2011
Report Date
June 13, 2012
Manufacturer
COCHLEAR LTD.
Product Code
MCM
PMA / PMN Number
970051
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

THIS REPORT IS FILED APRIL 14, 2014.

Description of Event or Problem · 1

PER THE CLINIC, THE DEVICE WAS EXPLANTED ON (B)(6) 2011 DUE TO POOR PERFORMANCE. THERE ARE NO PLANS TO REIMPLANT THE PATIENT WITH ANOTHER DEVICE AS OF THE DATE OF THIS REPORT, FEBRUARY 23, 2012.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM MCM MCM COCHLEAR LTD. CI24RE (CA) N/A

Patients

Seq Age Sex Outcome Treatment
1 26 YR Required Intervention