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..
[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
Report Number | 6000034-2016-01697 |
MDR Report Key | 5892703 |
Report Source | COMPANY REPRESENTATIVE,HEALTH |
Date Received | 2016-08-22 |
Date of Report | 2016-08-31 |
Date of Event | 2016-07-12 |
Date Facility Aware | 2016-08-11 |
Date Mfgr Received | 2016-08-31 |
Date Added to Maude | 2016-08-22 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MS. BIANCA HANLON |
Manufacturer Street | 1 UNIVERSITY AVENUE |
Manufacturer City | MACQUARIE UNIVERSITY, NSW 2109 |
Manufacturer Country | AS |
Manufacturer Postal | 2109 |
Manufacturer Phone | 2 9428 655 |
Manufacturer G1 | COCHLEAR AMERICAS |
Manufacturer Street | 13059 EAST PEAKVIEW AVENUE |
Manufacturer City | CENTENNIAL 80111 |
Manufacturer Country | US |
Manufacturer Postal Code | 80111 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | NUCLEUS 24 AUDITORY BRAINSTEM IMPLANT SYSTEM |
Generic Name | MHE |
Product Code | MHE |
Date Received | 2016-08-22 |
Returned To Mfg | 2016-08-16 |
Model Number | CI24RE (L24) |
Catalog Number | N/A |
Lot Number | N/A |
Operator | LAY USER/PATIENT |
Device Availability | R |
Device Age | 10 YR |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | COCHLEAR LTD. |
Manufacturer Address | 1 UNIVERSITY AVENUE MACQAURIE UNIVERSITY, NSW 2109 AS 2109 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2016-08-22 |