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