BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CLARION

    MDR report key: 374527 · Received January 29, 2002

    Report

    Report Number
    2029203-2000-00042
    Event Type
    Malfunction
    Date Received
    January 29, 2002
    Date of Event
    October 1, 2000
    Report Date
    January 29, 2002
    Manufacturer
    ADVANCED BIONICS CORPORATION
    Product Code
    MCM
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IN 10/2000 THE CO RECEIVED NOTIFICATION FROM THE IMPLANT CENTER THAT THE PT'S DEVICE HAD BEEN EXPLANTED DUE TO PAIN EXPERIENCED DURING STIMULATION.

    Description of Event or Problem · 1

    IN 2000 THE COMPANY RECEIVED NOTIFICATION FROM THE IMPLANT CENTER THAT THE PATIENT'S DEVICE HAD BEEN EXPLANTED DUE TO PAIN EXPERIENCED DURING STIMULATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CLARION COCHLEAR IMPLANT MCM ADVANCED BIONICS CORPORATION AB-5100L NA

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR