FDA Adverse Event Malfunction Summary report: N

P312 / PURE 500

MDR report key: 3555157 · Received November 14, 2013

Report

Report Number
3005019184-2013-00005
Event Type
Malfunction
Date Received
November 14, 2013
Date of Event
March 1, 2010
Report Date
November 14, 2013
Manufacturer
SIEMENS HEARING INSTRUMENTS, INC.
Product Code
ESD
PMA / PMN Number
NA
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT WAS FILED LATE BECAUSE THE INCIDENT WAS INCORRECTLY CLASSIFIED AS NOT MDR REPORTABLE. A RETROSPECTIVE REVIEW OF COMPLAINTS; HOWEVER, IDENTIFIED THIS INCIDENT AS MDR REPORTABLE. REVERSE CHARGING IS THE PROBABLE CAUSE OF THE DEFECT. REVERSE CHARGING MAY BE CAUSED BY INSERTING DEVICES IN AN INCORRECT ORIENTATION INTO THE CHARGING STATION WITH SOME FORCE. THIS SITUATION COULD EASILY BE DETECTED, SINCE THE TOP OF THE CHARGER CANNOT BE SHUT AND PARTS OF THE HEARING AIDS WOULD REMAIN EXPOSED. REVERSE CHARGING MAY ALSO BE CAUSED BY INSERTING THE BATTERIES IN THE HEARING AID WITH WRONG ORIENTATION BY APPLYING SOME FORCE. STANDARD BATTERIES ARE JUST SLIGHTLY ASYMMETRIC, RESULTING IN A NOT TOO OBVIOUS SLIGHT SPREADING OF THE HEARING AID CASE. A LETTER WITH THE INVESTIGATION RESULTS WAS SENT TO THE ACOUSTICIAN. THE CHARGER USER GUIDE WAS UPDATED TO CONTAIN MORE SPECIFIC WARNINGS REGARDING THE HANDLING OF BATTERIES AND INSTRUMENTS TO REDUCE THE LIKELIHOOD OF ACCIDENTAL REVERSE CHARGING.

Description of Event or Problem · 1

ON (B)(6) 2010 A PT IN (B)(6) WAS WEARING HIS PURE 500 HEARING AID WHILE THE RECHARGEABLE BATTERY EXPANDED. HE REMOVED THE DEVICE AND PUT IT ON A TABLE. THE CASE OF THE DEVICE HAD LOOSENED AND IT WASN'T OPERATIONAL, THE BATTERY HAD DISINTEGRATED. THE BATTERY IGNITED SHORTLY AFTER AND BURNED. THE PT DID NOT INDICATE ANY EFFECT ON HIS HEALTH WHEN HE REPORTED THE INCIDENT TO HIS DISPENSER AT THE DAY OF THE EVENT. WHEN HE RETURNED TO PICK UP A REPLACEMENT DEVICE ON (B)(6) 2010; HOWEVER, HE CLAIMED HE WAS HEARING A BUZZ IN HIS EARS AFTER THE BATTERY EXPANDED. HE WAS THEN OFFERED A MEDICAL EXAMINATION AND A HEARING TEST, BOTH CONDUCTED ON (B)(6) 2010. HIS HEARING WAS UNCHANGED IN COMPARISON TO HIS LAST TEST RESULT OF (B)(6) 2008 AND THE MEDICAL EVALUATION SHOWED NO FINDINGS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
591623 P312 / PURE 500 RECHARGEABLE BATTERY / HEARING AID ESD SIEMENS HEARING INSTRUMENTS, INC.

Patients

Seq Age Sex Outcome Treatment
1