FDA Adverse Event Injury Summary report: N

CLARION IMPLANT

MDR report key: 3213386 · Received July 3, 2013

Report

Report Number
3006556115-2013-00294
Event Type
Injury
Date Received
July 3, 2013
Report Date
June 12, 2013
Manufacturer
ADVANCED BIONICS, LLC
Product Code
MCM
PMA / PMN Number
P960058
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
AUDIOLOGIST

Narratives

Description of Event or Problem · 1

THE PT REPORTEDLY EXPERIENCED INTERMITTENCIES. EXCHANGING THE EXTERNAL EQUIPMENT RESOLVED THIS ISSUE, HOWEVER, THE PT HAS ELECTED TO HAVE THE DEVICE EXPLANTED FOR A TECHNOLOGY UPGRADE. ADVANCED BIONICS IS IN THE PROCESS OF GATHERING MORE INFORMATION. ONCE MORE INFORMATION IS RECEIVED A FOLLOW UP REPORT WILL BE SUBMITTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
306346 CLARION IMPLANT COCHLEAR IMPLANT MCM ADVANCED BIONICS, LLC AB-5100R NA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention