FDA Adverse Event Injury Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 3072395 · Received April 19, 2013

Report

Report Number
9710014-2013-00144
Event Type
Injury
Date Received
April 19, 2013
Date of Event
April 10, 2013
Report Date
April 12, 2016
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH
Product Code
MCM
PMA / PMN Number
P000025
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT WAS NOT ABLE TO HEAR ANYMORE. THE PATIENT WAS RE-IMPLANTED ON (B)(6), 2013.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
168883 MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM COCHLEAR IMPLANT MCM MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH PULSAR

Patients

Seq Age Sex Outcome Treatment
1 6 YR Female Required Intervention