Brand Name | NUCLEUS HYBRID L24 |
Type of Device | NUCLEUS HYBRID 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 | 17786416 |
MDR Text Key | 323890557 |
Report Number | 6000034-2023-03019 |
Device Sequence Number | 1 |
Product Code |
PGQ
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | P130016 |
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 |
08/29/2023 |
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 Expiration Date | 08/19/2015 |
Device Model Number | CI24RE (L24) |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 09/01/2023 |
Initial Date Manufacturer Received |
08/29/2023 |
Initial Date FDA Received | 09/20/2023 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 08/20/2013 |
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 Age | 47 YR |
Patient Sex | Female |
|
|