MSA 30X HEARING AMPLIFIER 2997364

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-22 for MSA 30X HEARING AMPLIFIER 2997364 manufactured by Global Tv Concepts, Ltd..

Event Text Entries

[109161444] I charged my hearing device for about 15-20 minutes then put it in my ear and heard a loud pop and felt a sudden pain, took it out and it had exploded open. Msa 30x hearing device with charger. / item #2997364 rechargeable 0. 3 ounces fits right or left ear adjustable volume control color tan with clear tubing and white ear piece / black charger. As seen on tv/ sold by buy from tv/ (b)(6). The product was damaged before the incident: no. The product was modified before the implant: no.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5077400
MDR Report Key7536823
Date Received2018-05-22
Date of Report2018-05-10
Date of Event2018-05-09
Date Added to Maude2018-05-23
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameMSA 30X HEARING AMPLIFIER
Generic NameHEARING AID, AIR CONDUCTION
Product CodeESD
Date Received2018-05-22
Model Number2997364
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerGLOBAL TV CONCEPTS, LTD.


Patients

Patient NumberTreatmentOutcomeDate
10 2018-05-22

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