FDA Adverse Event Injury Summary report: N

SOUND TEC IMPLANT

MDR report key: 563247 · Received January 3, 2005

Report

Report Number
563247
Event Type
Injury
Date Received
January 3, 2005
Date of Event
November 17, 2004
Report Date
December 20, 2004
Manufacturer
SOUND TEC INC.
Product Code
FZD
Product Problem
Yes
Report Source
User Facility report
Reporter Location
PA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

IMPLANT OF SOUNDTEC PROSTHESIS WAS DONE 2002. THE PT REQUIRED SURGERY 2004 TO HAVE THE PROSTHESIS REMOVED DUE TO IT MALFUNCTIONING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SOUND TEC IMPLANT EAR PROSTHESIS FZD SOUND TEC INC. * *

Patients

Seq Age Sex Outcome Treatment
1 70 YR Hospitalization