MAUDE MDR 9908873

MDR report key
9908873
Report number
6000034-2020-00904
Event key
0
Event type
3
Date of event
2020-03-09
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
MRS. BIANCA PRIES
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 22NUCLEUS 22 COCHLEAR IMPLANT SYSTEMCOCHLEAR LTDMCMCI22MNANAN R

Patients#

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

Event Narratives#

N

Patient 1

THIS REPORT IS SUBMITTED ON APRIL 1, 2020.

D

Patient 1

PER THE PATIENT'S SURGEON, THE DEVICE WAS EXPLANTED ON MARCH 9, 2020, DUE TO ELECTIVE NON-USE OF THE DEVICE. THERE ARE NO PLANS TO REIMPLANT THE PATIENT AS OF THE DATE OF THIS REPORT.