MAUDE MDR 9908195

MDR report key
9908195
Report number
3006556115-2020-00154
Event key
0
Event type
3
Date received
2020-03-31
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
LACEY MCDONALD
Address
28515 WESTINGHOUSE PLACE VALENCIA CA 91355 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1HIRES? ULTRA 3D IMPLANTCOCHLEAR IMPLANTADVANCED BIONICS, LLCMCMCI-1601-05NANAR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-3101. R

Event Narratives#

N

Patient 1

ADVANCED BIONICS CONSIDERS THE INVESTIGATION INTO THIS REPORTABLE EVENT AS CLOSED. THE RECIPIENT'S SWELLING RESOLVED. THE RECIPIENT RESUMED DEVICE USE. THIS IS THE FINAL REPORT.

D

Patient 1

IN (B)(6) 2020, THE RECIPIENT REPORTEDLY EXPERIENCED AN INFECTION AND SWELLING OVER THE IMPLANT SITE. THE RECIPIENT'S INFECTION IS NOT DEVICE RELATED. THE RECIPIENT WAS PRESCRIBED 10 DAYS OF ANTIBIOTICS.