BELTONE AMZ 9/63 20690905

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 2019-05-24 for BELTONE AMZ 9/63 20690905 manufactured by Gn Hearing A/s.

Event Text Entries

[146051417] Medical device. S/n (as there are a pair of hearing aids): (b)(4). Device not available for investigation in ballerup.
Patient Sequence No: 1, Text Type: N, H10


[146051418] The patient became hospitalized for neuritis (pain behind the right ear). He was treated by an md who is a neurologist. Medication was prescribed. Patient asked the md if the neuritis could be due to the new hearing aids (used since (b)(6) 2019), and the doctor said "maybe". It has not been able to obtain further information on the medical condition, except for the information that the neuritis only was related to behind the right ear. On the (b)(6) 2019 it was confirmed that the patient was doing fine and that he was using his old hearing aids again (true 62). During many years of sales in a lot of different markets (many million pcs of hearing aids) it has never been reported incidents of neuritis.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005650109-2019-00004
MDR Report Key8639651
Report SourceCOMPANY REPRESENTATIVE
Date Received2019-05-24
Date of Report2019-05-24
Date of Event2019-04-03
Date Mfgr Received2019-04-04
Date Added to Maude2019-05-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR LARS HAGANDER
Manufacturer StreetLAUTRUPBJERG 7 P.O. BOX 130
Manufacturer CityBALLERUP, COPENHAGEN DK 2750
Manufacturer CountryDA
Manufacturer PostalDK 2750
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBELTONE
Generic NameHEARING AID AMAZE
Product CodeOSM
Date Received2019-05-24
Model NumberAMZ 9/63
Catalog Number20690905
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerGN HEARING A/S
Manufacturer AddressLAUTRUPBJERG 7 BALLERUP, DK 2750 DA DK 2750


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2019-05-24

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