FDA Adverse Event
Injury
Summary report: N
NI
MDR report key: 8820150
·
Received July 24, 2019
Report
- Report Number
- 6000034-2019-01334
- Event Type
- Injury
- Date Received
- July 24, 2019
- Report Date
- July 9, 2019
- Manufacturer
- COCHLEAR BONE ANCHORED SOLUTIONS AB
- Product Code
- LXB
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THIS REPORT IS SUBMITTED ON JULY 24, 2019, BY COCHLEAR LTD.
Description of Event or Problem · 1
RECIPIENT REPORTED THAT HER ABUTMENT FELL OUT IN YEAR 2018 (DATE ON REPORTED) DUE TO A CHRONIC INFECTION. ADDITIONAL INFORMATION HAS BEEN REQUESTED BUT HAS NOT BEEN MADE AVAILABLE AS OF THE DATE OF THIS REPORT, JULY 24, 2019.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 615063 | NI | COCHLEAR BAHA CONNECT SYSTEM | LXB | COCHLEAR BONE ANCHORED SOLUTIONS AB | NI | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |