FDA Adverse Event Injury Summary report: N

NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM

MDR report key: 2902350 · Received January 8, 2013

Report

Report Number
6000034-2013-00049
Event Type
Injury
Date Received
January 8, 2013
Date of Event
December 28, 2012
Report Date
April 2, 2013
Manufacturer
COCHLEAR LTD.
Product Code
MCM
PMA / PMN Number
970051
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

THIS REPORT IS FILED (B)(4) 2013.

Additional Manufacturer Narrative · 1

PER THE SURGEON, THE PATIENT WAS SEEN ON (B)(6) 2012 FOR REPORTS OF PAIN, SWELLING, AND DRAINAGE AROUND THE INCISION SITE. AT THE TIME OF THE VISIT, IT WAS REPORTED THAT THE PATIENT HAD A WOUND INFECTION WITH MILD ERYTHEMA. A PUSTULE WAS OPENED AND DRAINED AND A SMALL AREA OF WOUND DEHISCENCE WAS CLOSED. THE PATIENT WAS PRESCRIBED KEFLEX 500MG FOR TEN DAYS AND WOUND CARE WITH BACITRACIN OINTMENT. ON (B)(6) 2012, THE PATIENT REPORTED AN INCREASE IN DRAINAGE AND THE ANTIBIOTIC WAS CHANGED TO AUGMENTIN AND WOUND CARE WITH BACTROBAN OINTMENT. CORRECTION: POST EXPLANTATION AND DISMISSAL FROM THE HOSPITAL, THE PATIENT RECEIVED TWO WEEKS OF HOME IV ANTIBIOTIC THERAPY. CORRECTION: THE CORRECT DATE OF EVENT IS (B)(6) 2012; NOT (B)(6) 2013 AS PREVIOUSLY REPORTED. CORRECTION: THE CORRECT DATE OF THE REPORT IS (B)(4) 2013; NOT (B)(4) 2013 AS PREVIOUSLY REPORTED. THIS REPORT IS FILED (B)(4) 2013.

Description of Event or Problem · 1

PER THE CLINIC, THE DEVICE WAS EXPLANTED ON (B)(6) 2013 DUE TO INFECTION. POST EXPLANTATION, THE PATIENT WAS HOSPITALIZED FOR IV ANTIBIOTIC TREATMENT. PATIENT WAS PRESCRIBED ORAL ANTIBIOTICS FOR TWO WEEKS. THERE ARE PLANS TO REIMPLANT THE PATIENT WITH ANOTHER DEVICE, HOWEVER IT IS UNKNOWN IF THIS HAS OCCURRED AS OF THE DATE OF THIS REPORT, (B)(4) 2013.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
9036 NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM MCM, PRODUCT CODE: MCM MCM COCHLEAR LTD. CI24RE (CA) N/A

Patients

Seq Age Sex Outcome Treatment
1 64 YR Hospitalization| R