FDA Adverse Event Malfunction Summary report: N

MED-EL MAESTRO COCHLEAR IMPLANT SYSTEM

MDR report key: 2882117 · Received December 18, 2012

Report

Report Number
9710014-2012-00474
Event Type
Malfunction
Date Received
December 18, 2012
Date of Event
May 22, 2011
Report Date
December 12, 2012
Manufacturer
MED-EL ELEKTROMEDIZINISHCE GERAETE GMBH
Product Code
MCM
PMA / PMN Number
P000025
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS NOT BEEN EXPLANTED. IF IT SHOULD BE EXPLANTED, IT IS TO BE RETURNED TO THE MANUFACTURER FOR EVALUATION. WHEN AVAILABLE, A DEVICE FAILURE ANALYSIS WILL BE SUBMITTED AS A FOLLOW UP REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PT SUFFERED A HEAD TRAUMA. HE IS STILL ABLE TO HEAR BUT HIS PERFORMANCE HAS DECLINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MED-EL MAESTRO COCHLEAR IMPLANT SYSTEM SONATA STANDARD MCM MED-EL ELEKTROMEDIZINISHCE GERAETE GMBH

Patients

Seq Age Sex Outcome Treatment
1 7 YR