FDA Adverse Event Injury Summary report: N

MED-EL MAESTRO COCHLEAR IMPLANT SYSTEM

MDR report key: 7701622 · Received July 19, 2018

Report

Report Number
9710014-2018-00512
Event Type
Injury
Date Received
July 19, 2018
Report Date
August 4, 2020
Manufacturer
MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH
Product Code
MCM
UDI-DI
09008737062675
PMA / PMN Number
P000025
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

CONCLUSION: AS PER INFORMATION FROM THE FIELD RECIPIENT REPORTED NOISE WHEN USING THE DEVICE. IN ADDITION EVOKED ACTION POTENTIAL MEASUREMENTS SHOWED ABNORMAL RESULTS. DEVICE INVESTIGATION CONFIRMED THAT STIMULATOR ELECTRONICS IS WORKING ACCORDING TO SPECIFICATIONS. HOWEVER, A REDUCED ELECTRICAL IMPEDANCE BETWEEN COIL AND EAP/RG (EVOKED ACTION POTENTIALS/ REMOTE GROUND) ELECTRODE WAS DISCOVERED DURING INVESTIGATION, WHICH CAUSED THE REPORTED FAULTY EAP MEASUREMENT RESULTS. A CONTRIBUTION OF THE LOWER-OHMIC CONNECTION BETWEEN COIL AND REFERENCE ELECTRODE TO THE ABNORMAL PERCEPTION CANNOT BE EXCLUDED. OTHER DAMAGES FOUND ARE RELATED TO THE EXPLANTATION SURGERY. THIS IS A FINAL REPORT.

Description of Event or Problem · 0

THE USER HAS NOT USED THE PROCESSOR IN A YEAR DUE TO UNBEARABLE NOISE. THE USER WAS RE-IMPLANTED ON (B)(6) 2018.

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN EXPLANTED AND SHOULD BE RETURNED TO THE MANUFACTURER FOR EVALUATION. WHEN AVAILABLE, A DEVICE FAILURE ANALYSIS WILL BE SUBMITTED AS A FOLLOW UP REPORT.

Description of Event or Problem · 1

THE USER HAS NOT USED THE PROCESSOR IN A YEAR DUE TO UNBEARABLE NOISE. THE USER WAS REIMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
547083 MED-EL MAESTRO COCHLEAR IMPLANT SYSTEM COCHLEAR IMPLANT MCM MED-EL ELEKTROMEDIZINISCHE GERAETE GMBH MI1000 MED-EL CONCERT PIN 09008737062675

Patients

Seq Age Sex Outcome Treatment
1 8 YR Required Intervention