UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2017-08-09 for UNKNOWN manufactured by Cochlear Bone Anchored Solutions Ab.

Event Text Entries

[82340448] This report is submitted on august 10, 2017, (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[82340449] Per the clinic, the patient experienced skin overgrowth at the abutment site. Subsequently, the patient underwent a skin debridement procedure (date not reported). The patient has successfully resumed use of their device following the procedure.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6000034-2017-01466
MDR Report Key6783777
Report SourceHEALTH PROFESSIONAL
Date Received2017-08-09
Date of Report2017-07-24
Date Mfgr Received2017-07-24
Date Added to Maude2017-08-09
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 ContactMRS. BIANCA PRIES
Manufacturer Street1 UNIVERSITY AVENUE
Manufacturer CityMACQUARIE UNIVERSITY, NSW 2109
Manufacturer CountryAS
Manufacturer Postal2109
Manufacturer G1COCHLEAR BONE ANCHORED SOLUTIONS AB
Manufacturer StreetKONSTRUKTIONSV PO BOX 82
Manufacturer CityM 43533
Manufacturer CountrySW
Manufacturer Postal Code43533
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN
Generic NameCOCHLEAR BAHA VISTAFIX SYSTEM
Product CodeFZE
Date Received2017-08-09
Model NumberUNKNOWN
Catalog NumberUNKNOWN
Lot NumberUNKNOWN
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCOCHLEAR BONE ANCHORED SOLUTIONS AB
Manufacturer AddressKONSTRUKTIONSV?GEN 14 PO BOX 82 M?LNLYCKE, 435 22 SW 435 22


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-08-09

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