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