FDA Adverse Event Injury Summary report: N

NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM

MDR report key: 3895511 · Received June 25, 2014

Report

Report Number
6000034-2014-00929
Event Type
Injury
Date Received
June 25, 2014
Date of Event
May 13, 2014
Report Date
February 23, 2015
Manufacturer
COCHLEAR LTD.
Product Code
MCM
PMA / PMN Number
970051
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

(B)(4): IMPLANTED DEVICE REMAINS.

Additional Manufacturer Narrative · 1

PER THE CLINIC, THE DEVICE WAS EXPLANTED ON (B)(6), 2014. THIS REPORT IS FILED (B)(6), 2015.

Description of Event or Problem · 1

PER THE CLINIC, PATIENT EXPERIENCED AN INFECTION AT THE IMPLANT SITE RESULTING IN EXPOSURE OF THE IMPLANT. THE PATIENT WAS TREATED WITH ANTIBIOTICS (SPECIFIC TYPE, DATE, DURATION AND DOSAGE NOT REPORTED). THE IMPLANTED DEVICE REMAINS. EXPLANTATION AND REIMPLANTATION IS PLANNED BUT HAS NOT TAKEN PLACE AS OF THE DATE OF THIS REPORT, (B)(6), 2014.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
370231 NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM MCM MCM COCHLEAR LTD. CI24RE (CA)

Patients

Seq Age Sex Outcome Treatment
1 4 YR Required Intervention