FDA Adverse Event Injury Summary report: N

NUCLEUS 24

MDR report key: 8881854 · Received August 11, 2019

Report

Report Number
6000034-2019-01386
Event Type
Injury
Date Received
August 11, 2019
Report Date
November 12, 2019
Manufacturer
COCHLEAR LTD
Product Code
MCM
PMA / PMN Number
P970051
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

IT WAS REPORTED THAT THE PATIENT'S DEVICE WAS EXPLANTED ON (B)(6) 2019. THIS REPORT IS SUBMITTED 04 NOVEMBER 2019.

Additional Manufacturer Narrative · 0

THIS REPORT IS SUBMITTED 3 DECEMBER 2019. - ATTACHMENT: [155771 DEVICE ANALYSIS REPORT.PDF].

Additional Manufacturer Narrative · 1

THIS REPORT IS SUBMITTED ON AUGUST 12, 2019.

Description of Event or Problem · 1

PER THE CLINIC, THE PATIENT EXPERIENCED INTERMITTENT SWELLING OVER THE RECEIVER STIMULATOR WHICH HAS NOT BEEN RESOLVED WITH MEDICAL MANAGEMENT. THE SURGEON HAS DETERMINED THAT AN INFECTION IS PRESENT BASED ON THE PRESENCE OF SWELLING. NO ANTIBIOTICS WAS ADMINISTERED. THE IMPLANTED DEVICE REMAINS. THE SURGEON HAS NOT DECIDED UPON THE COURSE OF ACTION AT OF THE DATE OF THIS REPORT, AUGUST 12, 2019.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
675761 NUCLEUS 24 NUCLEUS 24 COCHLEAR IMPLANT SYSTEM MCM COCHLEAR LTD CI24M NI

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention