FDA Adverse Event Injury Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 3042187 · Received April 4, 2013

Report

Report Number
9710014-2013-00116
Event Type
Injury
Date Received
April 4, 2013
Report Date
March 27, 2013
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH
Product Code
MCM
PMA / PMN Number
P000025
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN EXPLANTED AND SHOULD BE RETURNED TO THE MANUFACTURER FOR EVALUATION. WHEN AVAILABLE, A DEVICE ANALYSIS WILL BE SUBMITTED AS A FOLLOW UP REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE HOUSING OF THE IMPLANT HAD EXTRUDED OUT OF THE SKIN AND THE PATIENT DECIDED TO CUT THE CABLE. THE PATIENT ATTENDED AN APPOINTMENT WITH THE SURGEON. A DECISION WAS MADE BY THE HOSPITAL TO LEAVE THE ELECTRODE ARRAY IN THE COCHLEA AND IMPLANT A NEW DEVICE ON THE CONTRALATERAL SIDE. APPARENTLY, THE PATIENT HAS HAD PREVIOUS SKIN PROBLEMS AT THE IMPLANT AREA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
139326 MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM PULSAR STANDARD MCM MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH

Patients

Seq Age Sex Outcome Treatment
1 61 YR Required Intervention