BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM

    MDR report key: 3203601 · Received July 3, 2013

    Report

    Report Number
    6000034-2013-01174
    Event Type
    Injury
    Date Received
    July 3, 2013
    Date of Event
    May 3, 2013
    Report Date
    September 30, 2013
    Manufacturer
    COCHLEAR LTD
    Product Code
    MCM
    PMA / PMN Number
    970051
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT IS FILED DECEMBER 10, 2013.

    Description of Event or Problem · 1

    PER THE SURGEON, THE DEVICE WAS EXPLANTED ON (B)(6) 2013, DUE TO EXTRUSION. THE PATIENT WAS REIMPLANTED WITH A NEW DEVICE DURING THE SAME SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    305161 NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM MCM MCM COCHLEAR LTD CI24RE (CA)

    Patients

    Seq Age Sex Outcome Treatment
    1 4 YR Required Intervention