| Brand Name | Kirkland Signature KS 10.0 |
| Common Device Name | Hearing aid, air-conduction, receiver-in-canal |
| Manufacturer (Section D) |
| Sonova AG |
| laubisruetistrasse 28 |
| staefa, zuric, che 8712 |
| SZ 8712 |
|
| MDR Report Key | 50696046 |
| Report Number | 3008848788-2026-00013 |
| Device Sequence Number | 9685171 |
| Product Code |
OSM
|
| UDI-Device Identifier | 07613389258431 |
| Combination Product (Y/N) | N |
| Initial Reporter State | IN |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Importer
|
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/07/2026 |
| Report Date (Section F) |
08/07/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Lay User/Patient
|
| Device Model Number | 0500751U156 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Distributor Facility Aware Date | 08/07/2026 |
| Device Age | 4 YR |
| Event Location |
Home
|
| Date Report to Manufacturer | 08/07/2026 |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 09/09/2026 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Female |
|
|