MAUDE Adverse Event Report: COCHLEAR LIMITED NUCLEUS FREEDOM COCHLEAR IMPLANT WITH STRAIGHT ELECTRODE; NUCLEUS 24 COCHLEAR IMPLANT SYSTEM

Model Number CI24RE (ST)

Device Problems No Device Output (1435); Electrical Shorting (2926)

Patient Problem Failure of Implant (1924)

Event Date 05/14/2021

Event Type  Injury  

Manufacturer Narrative

This report is submitted on june 04, 2021.

Event Description

Per the clinic, open and short circuits were noted on multiple electrodes.Reprogramming attempts were made; however, the issue could not be resolved.Explant and reimplantation is planned but has not taken place at the time of this report.

Manufacturer Narrative

Analysis of the returned device indicates device failure.Device analysis report is attached.This report is submitted on september 14, 2021.

Manufacturer Narrative

Per the clinic, the device was explanted on (b)(6) 2021.This report is submitted on july 15, 2021.

• Brand Name: NUCLEUS FREEDOM COCHLEAR IMPLANT WITH STRAIGHT ELECTRODE
• Type of Device: NUCLEUS 24 COCHLEAR IMPLANT SYSTEM
• Manufacturer (Section D): COCHLEAR LIMITED; 1 university avenue; macquarie university; nsw 2109 ; AS 2109
• MDR Report Key: 11936576
• MDR Text Key: 254270727
• Report Number: 6000034-2021-01601
• Device Sequence Number: 1
• Product Code: MCM
• UDI-Device Identifier: 09321502009317
• UDI-Public: (01)09321502009317(11)200110(17)220109
• Combination Product (y/n): N
• PMA/PMN Number: P970051
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: health professional
• Type of Report: Initial,Followup,Followup
• Report Date: 08/24/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 06/03/2021
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Device Expiration Date: 01/09/2022
• Device Model Number: CI24RE (ST)
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 07/07/2021
• Date Manufacturer Received: 08/24/2021
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Patient Outcome(s): Other; Required Intervention
• Patient Age: 3 YR