FDA Adverse Event Injury Summary report: N

FLANGE FIXTURE AND ABUTMENT

MDR report key: 3162448 · Received June 11, 2013

Report

Report Number
6000034-2013-01038
Event Type
Injury
Date Received
June 11, 2013
Report Date
May 28, 2013
Manufacturer
COCHLEAR BONE ANCHORED SOLUTIONS AB
Product Code
LXB
PMA / PMN Number
K955713
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4): IMPLANTED DEVICE REMAINS.

Description of Event or Problem · 1

PER THE CLINIC, THE PATIENT DEVELOPED AN INFECTION AT THE IMPLANT SITE. THE PATIENT IS CURRENTLY BEING TREATED WITH ORAL ANTIBIOTICS (TYPE AND AMOUNT NOT REPORTED) AS WELL AS TOPICAL STEROIDS AND BACTROBAN. THE IMPLANTED DEVICE REMAINS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
263002 FLANGE FIXTURE AND ABUTMENT LXB, PRODUCT CODE: LXB LXB COCHLEAR BONE ANCHORED SOLUTIONS AB 93330 131261

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention