FDA Adverse Event
Injury
Summary report: N
NUCLEUS CI522 COCHLEAR IMPLANT WITH SLIM STRAIGHT ELECTRODE
MDR report key: 8388794
·
Received March 4, 2019
Report
- Report Number
- 6000034-2019-00294
- Event Type
- Injury
- Date Received
- March 4, 2019
- Report Date
- February 19, 2019
- Manufacturer
- COCHLEAR LTD
- Product Code
- MCM
- UDI-DI
- 09321502032599
- PMA / PMN Number
- P970051
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SZ
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THIS REPORT IS SUBMITTED ON MARCH 05, 2019.
Description of Event or Problem · 1
PER THE CLINIC, THE PATIENT EXPERIENCED MAGNET DISLODGEMENT FOLLOWING AN MRI (TESLA UNKNOWN). THE PATIENT'S HEAD WAS WRAPPED AS AN APPROVED INDICATION IN EUROPE. SURGERY TO REPOSITION THE MAGNET HAS BEEN COMPLETED (DATE NOT REPORTED).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 180236 | NUCLEUS CI522 COCHLEAR IMPLANT WITH SLIM STRAIGHT ELECTRODE | NUCLEUS 24 COCHLEAR IMPLANT SYSTEM | MCM | COCHLEAR LTD | CI522 | N/A | 09321502032599 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |