FDA Adverse Event Other Summary report: N

MED-EL MAESTRO COCHLEAR IMPLANT SYSTEM

MDR report key: 3070210 · Received April 16, 2013

Report

Report Number
9710014-2013-00141
Event Type
Other
Date Received
April 16, 2013
Date of Event
January 1, 2013
Report Date
April 11, 2013
Manufacturer
MED-EL ELEKTROMEDIZINISCHE 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 MFR 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 PATIENT HAS A HISTORY OF SWELLING OVER INTERNAL RECEIVE-STIMULATOR, WHICH WAS DIAGNOSED AS AN INFECTION. PATIENT STOPPED WEARING THE DEVICE AND RECEIVED ANTIBIOTIC TREATMENT, WHICH APPEARED TO IMPROVE SYMPTOMS. PATIENT BEGAN WEARING THE DEVICE AGAIN AND SYMPTOMS REOCCURRED. THE PATIENT IS SCHEDULED TO BE EXPLANTED ON (B)(6) 2013.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
164006 MED-EL MAESTRO COCHLEAR IMPLANT SYSTEM SONATA STANDARD MCM MED-EL ELEKTROMEDIZINISCHE GERAETE, GMBH

Patients

Seq Age Sex Outcome Treatment
1 4 YR