FDA Adverse Event Injury Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 3830594 · Received May 5, 2014

Report

Report Number
9710014-2014-00209
Event Type
Injury
Date Received
May 5, 2014
Date of Event
February 1, 2014
Report Date
April 23, 2014
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH
Product Code
MCM
PMA / PMN Number
P000025
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN EXPLANTED AND HAS BEEN RETURNED TO MED-EL HEADQUARTERS, WHERE IT WILL BE EVALUATED. WHEN AVAILABLE, A DEVICE FAILURE ANALYSIS WILL BE SUBMITTED AS A FOLLOW-UP REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT WAS RE-IMPLANTED ON (B)(6) 2014, AND THE IMPLANT BODY NEARLY COMPLETELY COVERED BY TENSE NEW BONE FORMATION. AFTER DRILLING THE BONE, NO MEASUREMENTS COULD BE OBTAINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
268052 MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM C40+ STANDARD MCM MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH

Patients

Seq Age Sex Outcome Treatment
1 24 YR Required Intervention