MAUDE MDR 9881569

MDR report key
9881569
Report number
6000034-2020-00814
Event key
0
Event type
3
Date of event
2020-02-25
Date received
2020-03-25
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MRS. ROBERTA LOVEDAY
Address
1 UNIVERSITY AVENUE MACQUARIE UNIVERSITY, NSW 2109 AS
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BIM400 IMPLANT MAGNETCOCHLEAR BAHA ATTRACT SYSTEMCOCHLEAR BONE ANCHORED SOLUTIONS ABLXB9355093550N R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-2501. R

Event Narratives#

N

Patient 1

THIS REPORT IS SUBMITTED ON MARCH 26, 2020.

D

Patient 1

PER THE CLINIC, THERE WAS A BAHA ATTRACT TO CONNECT CONVERSION BECAUSE THE PATIENT WAS EXPERIENCING PAIN AVER THE IMPLANT SITE.