MAUDE MDR 9908720

MDR report key
9908720
Report number
6000034-2020-00995
Event key
0
Event type
3
Date of event
2020-01-14
Date received
2020-03-31
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. KRISTEL KOHNE
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
1NUCLEUS CI24RE (CA) COCHLEAR IMPLANT WITH CONTOUR ADVANCE ELECTRODENUCLEUS 24 COCHLEAR IMPLANT SYSTEMCOCHLEAR LTDMCMCI24RE (CA)NANAN R

Patients#

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

Event Narratives#

N

Patient 1

THIS REPORT IS SUBMITTED ON 01 APRIL 2020.

D

Patient 1

PER THE CLINIC, THE PATIENT EXPERIENCED PAIN, NON-AUDITORY SENSATIONS AND POOR PERFORMANCE WITH DEVICE USE. SUBSEQUENTLY THE DEVICE WAS EXPLANTED ON (B)(6) 2020. THERE ARE NO PLANS TO RE-IMPLANT THE PATIENT WITH A NEW DEVICE AS OF THIS REPORT.