FDA Adverse Event Injury Summary report: N

NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM

MDR report key: 2863386 · Received December 10, 2012

Report

Report Number
6000034-2012-02326
Event Type
Injury
Date Received
December 10, 2012
Date of Event
November 28, 2012
Report Date
January 22, 2013
Manufacturer
COCHLEAR LTD
Product Code
MCM
PMA / PMN Number
970051
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SF
Reporter Occupation
OTHER CAREGIVERS

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

FURTHER INVESTIGATION HAS BEEN COMPLETED AND RESULTS INDICATED THAT THE WHITE POWDER BELIEVED TO BE BATTERY FLUID, WAS FOUND TO BE DUST. THIS REPORT IS FILED (B)(4) 2013

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BATTERIES APPEAR TO HAVE LEAKED. THE EQUIPMENT WAS ADVISED TO BE REMOVED FROM SERVICE, AND A REPLACEMENT WILL BE SENT. NO REPORTS OF PATIENT INJURY ARE ASSOCIATED WITH THIS EVENT. THE MANUFACTURER BECAME AWARE UPON RECEIPT OF THE BATTERIES ON (B)(4) 2012. ADDITIONAL INFORMATION HAS BEEN REQUESTED, BUT HAS NOT BEEN PROVIDED AS OF THE DATE OF THIS REPORT, (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM MCM MCM COCHLEAR LTD SP12

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention