BIM400 IMPLANT MAGNET 93550

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2020-03-09 for BIM400 IMPLANT MAGNET 93550 manufactured by Cochlear Bone Anchored Solutions Ab.

Event Text Entries

[182740987] This report is submitted on 10 march 2020.
Patient Sequence No: 1, Text Type: N, H10


[182740988] Per the clinic, it was reported that due to pain the internal magnet was removed on (b)(6) 2020 in order to convert the patient to a percutaneous baha implant system. An abutment was placed on the implant fixture, which remains insitu. No other event or complications which may have contributed to the decision to convert the patient were reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6000034-2020-00621
MDR Report Key9809025
Report SourceUSER FACILITY
Date Received2020-03-09
Date of Report2020-02-12
Date of Event2020-01-16
Date Mfgr Received2020-02-12
Date Added to Maude2020-03-09
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 ContactMS. KRISTEL KOHNE
Manufacturer Street1 UNIVERSITY AVENUE
Manufacturer CityMACQUARIE UNIVERSITY, NSW 2109
Manufacturer CountryAS
Manufacturer Postal2109
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBIM400 IMPLANT MAGNET
Generic NameCOCHLEAR BAHA ATTRACT SYSTEM
Product CodeLXB
Date Received2020-03-09
Returned To Mfg2020-02-12
Model Number93550
Catalog Number93550
Lot NumberNA
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Eval'ed by MfgrN
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 2020-03-09

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