SIEMENS HEARING AID SIVANTOS/SIEMENS PURE 7MI RIC R

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-11-28 for SIEMENS HEARING AID SIVANTOS/SIEMENS PURE 7MI RIC R manufactured by Siemens/ Signia/ Sivantos.

Event Text Entries

[93197516] Broken tip of hearing aid on the right got stuck in the right eac and had to be mechanically retrieved. This is the device as listed by audiology: (b)(6) 2014 sivantos/siemens pure 7mi ric right sn: (b)(4) (b)(6) 2016 (b)(6) 2014 sivantos/siemens pure 7mi ric. Left sn: (b)(4) (b)(6) 2016.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5073578
MDR Report Key7063396
Date Received2017-11-28
Date of Report2017-11-24
Date of Event2017-11-24
Date Added to Maude2017-11-28
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 0

Brand NameSIEMENS HEARING AID
Generic NameHEARING AID
Product CodeESD
Date Received2017-11-28
Model NumberSIVANTOS/SIEMENS PURE 7MI RIC R
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No0
Device Event Key0
ManufacturerSIEMENS/ SIGNIA/ SIVANTOS

Device Sequence Number: 1

Brand NameSIEMENS HEARING AID
Generic NameHEARING AID
Product CodeESD
Date Received2017-11-28
Model NumberSIVANTOS/SIEMENS PURE 7MI RIC R
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-11-28

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