MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2016-09-05 for NUCLEUS 24 AUDITORY BRAINSTEM IMPLANT SYSTEM ABI 24M manufactured by Cochlear Ltd..
[53896862]
(b)(4). Implanted device remains.
Patient Sequence No: 1, Text Type: N, H10
[53896863]
Per the clinic, the patient experienced poor performance with device use; subsequently, the patient underwent revision surgery on (b)(6) 2016 to reposition the device.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 6000034-2016-01804 |
| MDR Report Key | 5927411 |
| Report Source | HEALTH PROFESSIONAL |
| Date Received | 2016-09-05 |
| Date of Report | 2016-08-29 |
| Date of Event | 2016-08-22 |
| Date Facility Aware | 2016-08-29 |
| Date Mfgr Received | 2016-08-29 |
| Device Manufacturer Date | 2015-10-02 |
| Date Added to Maude | 2016-09-05 |
| 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 |
| Reporter Occupation | AUDIOLOGIST |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS. KRISTEL KOHNE |
| 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 CO 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 | 2016-09-05 |
| Model Number | ABI 24M |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Age | 1 YR |
| Device Eval'ed by Mfgr | R |
| 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 | 2016-09-05 |