MAUDE Adverse Event Report: COCHLEAR LTD NUCLEUS CI624 COCHLEAR IMPLANT WITH SLIM 20 ELECTRODE; NUCLEUS 24 COCHLEAR IMPLANT SYSTEM

Model Number CI624

Device Problem Appropriate Term/Code Not Available (3191)

Patient Problems Erythema (1840); Unspecified Infection (1930); Pain (1994)

Event Type  Injury  

Event Description

Per the clinic, the patient experienced an infection, pain and erythema at the implant site (specific date not reported).The patient was treated with antibiotics via parenteral route (specific date, type and duration not reported), however, the issue did not resolve.The patient was hospitalized on (b)(6) 2023, for iv antibiotics administration and the device was explanted on (b)(6) 2023.There are no plans to reimplant the patient with a new device as of the date of this report.Additional information has been requested but it has not been made available as of the date of this report.

• Brand Name: NUCLEUS CI624 COCHLEAR IMPLANT WITH SLIM 20 ELECTRODE
• Type of Device: NUCLEUS 24 COCHLEAR IMPLANT SYSTEM
• Manufacturer (Section D): COCHLEAR LTD; 1 university avenue; macquarie university, nsw 2109 ; AS 2109
• MDR Report Key: 16551146
• MDR Text Key: 311369389
• Report Number: 6000034-2023-00806
• Device Sequence Number: 1
• Product Code: MCM
• UDI-Device Identifier: 09321502046329
• UDI-Public: (01)09321502046329(11)220411(17)240410
• Combination Product (y/n): N
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Distributor
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 03/16/2023,02/23/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 03/16/2023
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Lay User/Patient
• Device Expiration Date: 04/10/2024
• Device Model Number: CI624
• Was Device Available for Evaluation?: No
• Was the Report Sent to FDA?: Yes
• Date Report Sent to FDA: 03/16/2023
• Distributor Facility Aware Date: 02/23/2023
• Date Report to Manufacturer: 02/23/2023
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Patient Outcome(s): Required Intervention; Hospitalization
• Patient Sex: Male