FDA Adverse Event
Injury
Summary report: N
NUCLEUS 24 CONTOUR
MDR report key: 6995365
·
Received November 1, 2017
Report
- Report Number
- 6000034-2017-02038
- Event Type
- Injury
- Date Received
- November 1, 2017
- Date of Event
- July 2, 2017
- Report Date
- January 8, 2018
- Manufacturer
- COCHLEAR LTD
- Product Code
- MCM
- PMA / PMN Number
- P970051
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THIS REPORT IS FILED ON NOVEMBER 02, 2017.
Description of Event or Problem · 1
PER THE CLINIC, THE PATIENT EXPERIENCED A PERFORMANCE DECREMENT WITH DEVICE USE. SUBSEQUENTLY THE DEVICE WAS EXPLANTED ON (B)(6) 2017 AND THE PATIENT WAS RE-IMPLANTED WITH A NEW DEVICE DURING THE SAME SURGERY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 773836 | NUCLEUS 24 CONTOUR | NUCLEUS 24 COCHLEAR IMPLANT SYSTEM | MCM | COCHLEAR LTD | CI24R (CS) | N/A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 13 YR | Required Intervention |