FDA Adverse Event Injury Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 3122236 · Received May 17, 2013

Report

Report Number
9710014-2013-00195
Event Type
Injury
Date Received
May 17, 2013
Date of Event
January 1, 2013
Report Date
May 14, 2013
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

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN EXPLANTED AND SHOULD BE RETURNED TO THE MFR FOR EVAL. 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, IMPLANTED IN 2002, WAS RE-IMPLANTED ON (B)(6) 2013. TO DATE NO FURTHER INFO IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
219742 MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM C40+ STANDARD MCM MED-EL ELEKTROMEDIZINISCHE GERAETE, GMBH

Patients

Seq Age Sex Outcome Treatment
1 38 YR Required Intervention