FDA Adverse Event
Injury
Summary report: N
MED-EL MAESTRO COCHLEAR IMPLANT SYSTEM
MDR report key: 3952584
·
Received May 15, 2014
Report
- Report Number
- 9710014-2014-00249
- Event Type
- Injury
- Date Received
- May 15, 2014
- Report Date
- November 27, 2017
- Manufacturer
- MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH
- Product Code
- MCM
- PMA / PMN Number
- P000025
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AR
- Reporter Occupation
- AUDIOLOGIST
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE HAS NOT BEEN EXPLANTED. IF IT SHOULD BE EXPLANTED, IT IS TO BE RETURNED TO THE MANUFACTURER FOR EVALUATION. WHEN AVAILABLE, A DEVICE ANALYSIS WILL BE SUBMITTED AS A FOLLOW UP REPORT.
Description of Event or Problem · 1
IT WAS REPORTED THAT 4 MONTHS AGO, THE PATIENT STARTED TO HEAR WITH INTERMITTENCIES WITH HIS COCHLEAR IMPLANT. THE EXTERNAL COMPONENTS WERE CHECKED AND THE PROBLEM SEEMED TO BE SOLVED. TEN DAYS AGO THE INTERMITTENT SOUND APPEARED AGAIN AND THEN PATIENT LOST ACCESS TO SOUND ON (B)(6) 2014. THIS WAS CONFIRMED WITH 2 DIFFERENT AUDIO PROCESSORS. AN ACCIDENT OR TRAUMA IS NOT KNOWN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 291225 | MED-EL MAESTRO COCHLEAR IMPLANT SYSTEM | COCHLEAR IMPLANT | MCM | MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH | MI1000 MED-EL CONCERT |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 8 YR | Male | Required Intervention |