NUCLEUS 24 AUDITORY BRAINSTEM IMPLANT SYSTEM CI24RE (L24) N/A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2016-08-22 for NUCLEUS 24 AUDITORY BRAINSTEM IMPLANT SYSTEM CI24RE (L24) N/A manufactured by Cochlear Ltd..

Event Text Entries

[52608303] (b)(4). Device not returned to manufacturer.
Patient Sequence No: 1, Text Type: N, H10


[52608304] Per the clinic, the device was electively explanted on (b)(6) 2016, due to non-use. There are no plans to re-implant the patient with a new device.
Patient Sequence No: 1, Text Type: D, B5


[54430419] (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number6000034-2016-01697
MDR Report Key5892703
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2016-08-22
Date of Report2016-08-31
Date of Event2016-07-12
Date Facility Aware2016-08-11
Date Mfgr Received2016-08-31
Date Added to Maude2016-08-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. BIANCA HANLON
Manufacturer Street1 UNIVERSITY AVENUE
Manufacturer CityMACQUARIE UNIVERSITY, NSW 2109
Manufacturer CountryAS
Manufacturer Postal2109
Manufacturer Phone2 9428 655
Manufacturer G1COCHLEAR AMERICAS
Manufacturer Street13059 EAST PEAKVIEW AVENUE
Manufacturer CityCENTENNIAL 80111
Manufacturer CountryUS
Manufacturer Postal Code80111
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNUCLEUS 24 AUDITORY BRAINSTEM IMPLANT SYSTEM
Generic NameMHE
Product CodeMHE
Date Received2016-08-22
Returned To Mfg2016-08-16
Model NumberCI24RE (L24)
Catalog NumberN/A
Lot NumberN/A
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Age10 YR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCOCHLEAR LTD.
Manufacturer Address1 UNIVERSITY AVENUE MACQAURIE UNIVERSITY, NSW 2109 AS 2109


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2016-08-22

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