FDA Adverse Event Injury Summary report: N

NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM

MDR report key: 2970835 · Received February 20, 2013

Report

Report Number
6000034-2013-00355
Event Type
Injury
Date Received
February 20, 2013
Date of Event
January 28, 2013
Report Date
May 31, 2013
Manufacturer
COCHLEAR LTD
Product Code
MCM
PMA / PMN Number
970051
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 1

(B)(4)

Additional Manufacturer Narrative · 1

DUE TO MISCOMMUNICATION THE FOLLOWING STATEMENT NEEDS TO BE CORRECTED: THE EQUIPMENT STAYS IN USE; IT WAS NOT ADVISED TO BE REMOVED FROM SERVICE AND NO REPLACEMENT WAS SENT AS PREVIOUSLY REPORTED. THE DEVICE WAS NOT RETURNED TO THE MANUFACTURER; AS PREVIOUSLY REPORTED. PER THE CLINIC, THE ISSUE COULD BE RESOLVED AND THE PATIENT RESUMED USE OF DEVICE. NO REPORTS OF PATIENT INJURY ARE ASSOCIATED WITH THIS EVENT. THIS REPORT IS FILED (B)(4) 2013. FUNCTIONING DEVICE, NO ANALYSIS REQUIRED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT EXPERIENCED WARM SENSATION WITH EXTERNAL DEVICE USE. THE EQUIPMENT WAS ADVISED TO BE REMOVED FROM SERVICE AND A REPLACEMENT WAS SENT. NO REPORTS OF PATIENT INJURY ARE ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
74533 NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM MCM MCM COCHLEAR LTD CP800

Patients

Seq Age Sex Outcome Treatment
1 58 YR Required Intervention