FDA Adverse Event Injury Summary report: N

MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM

MDR report key: 4250049 · Received November 6, 2014

Report

Report Number
9710014-2014-00582
Event Type
Injury
Date Received
November 6, 2014
Date of Event
April 7, 2014
Report Date
October 30, 2014
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE, GMBH
Product Code
MCM
PMA / PMN Number
P000025
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BASED ON THE RECEIVED INFORMATION, THE OBSERVED SYMPTOMS ARE VERY LIKELY DUE TO AN ELECTRODE MIGRATION OUT OF COCHLEA. THE PATIENT HAS A MONDINI MALFORMATION AND A FULL INSERTION COULD NOT BE ACHIEVED AT IMPLANTATION (TWO ELECTRODE CHANNELS WERE OUT OF COCHLEA). NOW SIX CHANNELS ARE REPORTEDLY OUT OF COCHLEA. A REPOSITIONING SURGERY IS TO BE DISCUSSED WITH THE SURGEON, BUT A DATE FOR REVISION SURGERY HAS NOT BEEN RECEIVED.

Description of Event or Problem · 1

THE PATIENT CAN ONLY DETECT LOUD SOUNDS. SPEECH SOUNDS ARE NOT RELIABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
716015 MED-EL COMBI 40+ COCHLEAR IMPLANT SYSTEM SONATA MCM MED-EL ELEKTROMEDIZINISCHE GERAETE, GMBH

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention