MAUDE Adverse Event Report: COCHLEAR BONE ANCHORED SOLUTIONS AB BIM400 IMPLANT MAGNET; COCHLEAR BAHA ATTRACT SYSTEM

Model Number 93550

Device Problem Expulsion (2933)

Patient Problems Necrosis (1971); Tissue Breakdown (2681)

Event Type  Injury  

Event Description

Per the clinic, the patient experienced an exposure of the implant magnet and was subsequently treated with oral antibiotics (date not reported).Additional information has been requested but has not been made available as of the date of this report.

Event Description

Per the clinic, the patient experienced necrosis.

Event Description

Per the clinic, the patient was placed under general anesthesia on (b)(6) 2022 in order to perform a skin revision surgery and the device was explanted.

• Brand Name: BIM400 IMPLANT MAGNET
• Type of Device: COCHLEAR BAHA ATTRACT SYSTEM
• Manufacturer (Section D): COCHLEAR BONE ANCHORED SOLUTIONS AB; konstruktionsvägen 14; mölnlycke, 435 3 3; SW 435 33
• MDR Report Key: 15036838
• MDR Text Key: 296041706
• Report Number: 6000034-2022-02052
• Device Sequence Number: 1
• Product Code: LXB
• 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,Followup,Followup
• Report Date: 08/25/2022,08/05/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Lay User/Patient
• Device Model Number: 93550
• Device Catalogue Number: 93550
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: No
• Was the Report Sent to FDA?: Yes
• Date Report Sent to FDA: 08/25/2022
• Distributor Facility Aware Date: 08/05/2022
• Event Location: Hospital
• Date Report to Manufacturer: 08/05/2022
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 07/17/2022
• Supplement Dates Manufacturer Received: Not provided; Not provided
• Supplement Dates FDA Received: 08/23/2022; 08/24/2022
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Patient Outcome(s): Required Intervention
• Patient Sex: Female