BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM

    MDR report key: 522969 · Received February 11, 2004

    Report

    Report Number
    6000034-2004-00038
    Event Type
    Malfunction
    Date Received
    February 11, 2004
    Date of Event
    January 29, 2004
    Report Date
    February 11, 2004
    Manufacturer
    COCHLEAR LTD.
    Product Code
    MCM
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SZ
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AFTER A BLOW TO THE HEAD, THE COCHLEAR IMPLANT STOPPED WORKING. USING THE APPROPRIATE DIAGNOSTIC EQUIPMENT,. IT WAS DETERMINED THAT THE DEVICE IS NOT FUNCTIONING ACCORDING TO MFR'S SPECIFICATIONS. EXPLANTATION/IMPLANTATION SURERY IS YET TO BE SCHEDULED. THE HEALTHCARE PROFESSIONAL HAS BEEN INFORMED THAT THE EXPLANTED DEVICE SHOULD BE RETURNED TO COCHLEAR LTD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM 24 CHANNEL COCHLEAR IMPLANT MCM COCHLEAR LTD. CI24M NA

    Patients

    Seq Age Sex Outcome Treatment
    1 10 YR