MAUDE Adverse Event Report: COCHLEAR LTD CP1000 MAGNET (2M, SAND); NUCLEUS 24 COCHLEAR IMPLANT SYSTEM

Model Number Z586147

Device Problem Appropriate Term/Code Not Available (3191)

Patient Problem Ulcer (2274)

Event Type  Injury  

Manufacturer Narrative

This report is submitted on may 31, 2023.

Event Description

Per the clinic, the patient was treated with topical antibiotics (duration not reported) due to ulcer.

• Brand Name: CP1000 MAGNET (2M, SAND)
• Type of Device: NUCLEUS 24 COCHLEAR IMPLANT SYSTEM
• Manufacturer (Section D): COCHLEAR LTD; 1 university avenue; macquarie university, nsw 2109 ; AS 2109
• Manufacturer (Section G): COCHLEAR LTD; 1 university avenue; macquarie university, nsw 2109 ; AS 2109
• Manufacturer Contact: ken yian chow ; unit ug-1, vertical podium; no. 8 jalan kerinchi; kuala lumpur, wilayah persekutuan 59200 ; MY 59200
• MDR Report Key: 17028743
• MDR Text Key: 316193043
• Report Number: 6000034-2023-01713
• Device Sequence Number: 1
• Product Code: MCM
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: P970051
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Health Professional
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 05/10/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 05/31/2023
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Lay User/Patient
• Device Model Number: Z586147
• Device Catalogue Number: Z586147
• Was Device Available for Evaluation?: No
• Date Manufacturer Received: 05/10/2023
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Outcome(s): Required Intervention
• Patient Sex: Male