FDA Adverse Event Injury Summary report: N

NONE

MDR report key: 865488 · Received June 12, 2007

Report

Report Number
MW5002627
Event Type
Injury
Date Received
June 12, 2007
Date of Event
April 11, 2007
Report Date
June 12, 2007
Manufacturer
BSS, INC.
Product Code
ESD
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MI, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

PURCHASED HEARING AID FROM COMPANY. AID WAS DEFECTIVE AND THE FEEDBACK/AMPLIFIER WAS LOUD ENOUGH TO CAUSE PERMANENT HEARING DAMAGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NONE BTE HEARING AID ESD BSS, INC.

Patients

Seq Age Sex Outcome Treatment
1 49 YR Other