FDA Adverse Event Injury Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 2843518 · Received November 19, 2012

Report

Report Number
9710014-2012-00413
Event Type
Injury
Date Received
November 19, 2012
Report Date
November 12, 2012
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE, GMBH
Product Code
MCM
PMA / PMN Number
P000025
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN EXPLANTED AND SHOULD BE RETURNED TO INNSBRUCK WHERE IT WILL BE EVALUATED. WHEN AVAILABLE, A DEVICE FAILURE ANALYSIS WILL BE SUBMITTED AS A F/U REPORT.

Description of Event or Problem · 1

ACCORDING TO THE REPORT OF NOV 8 2012, THE PT WAS RE-IMPLANTED ON (B)(6) 2012. THE REASON FOR RE-IMPLANTATION WAS A TRAUMATIC DAMAGE OF THE DEVICE. CURRENTLY, NO FURTHER INFO HAS BECOME AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM PULSAR STANDARD MCM MED-EL ELEKTROMEDIZINISCHE GERAETE, GMBH

Patients

Seq Age Sex Outcome Treatment
1 5 YR Required Intervention