FDA Adverse Event Injury Summary report: N

VIBRANT SOUNDBRIDGE

MDR report key: 3042283 · Received April 3, 2013

Report

Report Number
3004230826-2013-00032
Event Type
Injury
Date Received
April 3, 2013
Date of Event
January 25, 2013
Report Date
July 9, 2020
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH
Product Code
MPV
PMA / PMN Number
P990052
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TU
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 1

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

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION. CURRENTLY AVAILABLE INFORMATION, DOES NOT ALLOW A ROOT CAUSE DETERMINATION FOR THE REPORTED NO OUTPUT CONDITION DESPITE SEVERAL INQUIRES NO FURTHER INFORMATION HAS BEEN RECEIVED. SO FAR NO DATE FOR EXPLANTATION HAS BEEN SET.

Description of Event or Problem · 1

IT WAS REPORTED THAT ON (B)(6) 2013, THE PT SAID THAT SHE COULD NO LONGER HEAR. PRIOR TO THIS DATE THE PT'S EAR HAD BEEN CLEANED. ON (B)(6) SHE WENT TO HER DOCTOR AND UNDERWENT A REVISION SURGERY. AFTER THIS SURGERY SHE WAS STILL NOT ABLE TO HEAR.

Description of Event or Problem · 1

ACCORDING TO THE REPORT OF MARCH 25, 2013, THE PATIENT COMPLAINT ABOUT NO HEARING SENSATION ON (B)(6) 2013. PRIOR TO THIS DATE THE PATIENT'S EAR HAD BEEN CLEANED. ON (B)(6), SHE WENT TO HER DOCTOR AND UNDERWENT A REVISION SURGERY. AFTER THIS SURGERY SHE WAS STILL NOT ABLE TO HEAR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
136317 VIBRANT SOUNDBRIDGE MIDDLE EAR IMPLANT MPV MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH VORP

Patients

Seq Age Sex Outcome Treatment
1 54 YR Required Intervention