FDA Adverse Event
Injury
Summary report: N
HIRES 90K IMPLANT
MDR report key: 3113655
·
Received May 10, 2013
Report
- Report Number
- 3006556115-2013-00193
- Event Type
- Injury
- Date Received
- May 10, 2013
- Date of Event
- April 26, 2013
- Report Date
- April 22, 2013
- Manufacturer
- ADVANCED BIONICS LLC
- Product Code
- MCM
- PMA / PMN Number
- P960058
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE COMPANY WAS INFORMED THAT THE PT DEVICE WAS EXPLANTED DUE TO INFECTION. ADVANCED BIONICS IS IN THE PROCESS OF GATHERING MORE INFO. A SUPPLEMENTAL REPORT WILL BE SUBMITTED ONCE MORE INFO IS RECEIVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 207500 | HIRES 90K IMPLANT | COCHLEAR IMPLANT | MCM | ADVANCED BIONICS LLC | CI-1400-01 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR | Required Intervention |