FDA Adverse Event
Injury
Summary report: N
COCHLEAR BAHA ATTACT SYSTEM
MDR report key: 5750281
·
Received June 26, 2016
Report
- Report Number
- 6000034-2016-01271
- Event Type
- Injury
- Date Received
- June 26, 2016
- Report Date
- August 15, 2016
- Manufacturer
- COCHLEAR BONE ANCHORED SOLUTIONS AB
- Product Code
- LXB
- PMA / PMN Number
- K131240
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IA, US
- Reporter Occupation
- AUDIOLOGIST
Narratives
Additional Manufacturer Narrative · 1
(B)(4). IMPLANTED DEVICE REMAINS.
Additional Manufacturer Narrative · 1
THE CORRECT BRAND NAME IS COCHLEAR BAHA ATTRACT SYSTEM, NOT FLANGE FIXTURE AND ABUTMENT AS PREVIOUSLY REPORTED. THE CORRECT 510(K) CODE IS K131240, NOT K955713 AS PREVIOUSLY REPORTED.
Additional Manufacturer Narrative · 1
(B)(4). PER THE CLINIC, THE PATIENT WAS TREATED WITH PICC LINE AND IV ANTIBIOTICS (DATE AND DURATION NOT REPORTED) FOR THE RECURRENT INFECTIONS AT THE IMPLANT SITE.
Description of Event or Problem · 1
PER THE CLINIC, THE PATIENT EXPEREINCED RECURRENT INFECTIONS AND WAS SUBSEQUENTLY TREATED WITH ORAL ANTIBIOTICS (DATE AND DURATION NOT REPORTED).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 404392 | COCHLEAR BAHA ATTACT SYSTEM | LXB | LXB | COCHLEAR BONE ANCHORED SOLUTIONS AB | BIM400 | 93882 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |