NUCLEUS 24 AUDITORY BRAINSTEM IMPLANT SYSTEM ABI541

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2016-10-11 for NUCLEUS 24 AUDITORY BRAINSTEM IMPLANT SYSTEM ABI541 manufactured by Cochlear Ltd..

Event Text Entries

[57040394] Patient and initial implantation details unavailable at the time of this report. Device not returned to manufacturer.
Patient Sequence No: 1, Text Type: N, H10


[57040395] Per the clinic, the patient experienced migration of the electrode array; subsequently the device was explanted (date not reported) during a procedure to reposition the electrode array. The patient was re-implanted with a new device during the same surgery.
Patient Sequence No: 1, Text Type: D, B5


[59924804] This mdr was a duplicate. Any further information will be provided with report number 6000034-2016-01974. This report is filed on (b)(6) 2016.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number6000034-2016-02013
MDR Report Key6019489
Report SourceCOMPANY REPRESENTATIVE
Date Received2016-10-11
Date of Report2016-11-10
Date Mfgr Received2016-11-10
Device Manufacturer Date2015-08-04
Date Added to Maude2016-10-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. KRISTEL KOHNE
Manufacturer Street1 UNIVERSITY AVENUE
Manufacturer CityMACQUARIE UNIVERSITY, NSW 2109
Manufacturer CountryAS
Manufacturer Postal2109
Manufacturer Phone2 9428 655
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNUCLEUS 24 AUDITORY BRAINSTEM IMPLANT SYSTEM
Generic NameMHE
Product CodeMHE
Date Received2016-10-11
Model NumberABI541
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
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 2016-10-11

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