| Brand Name | Nucleus CI612 Cochlear Implant with Contour Advance Electrode |
| Common Device Name | 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 |
|
amirah
rosly
|
| unit ug-1, vertical podium |
| no. 8 jalan kerinchi |
| kuala lumpur, wilayah persekutuan 59200
|
|
MY
59200
|
|
| MDR Report Key | 50878067 |
| Report Number | 6000034-2026-03354 |
| Device Sequence Number | 13089994 |
| Product Code |
MCM
|
| UDI-Device Identifier | 09321502036818 |
| Combination Product (Y/N) | N |
| Initial Reporter State | MN |
| Initial Reporter Country | US |
| PMA/510(K) Number | P970051 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2025 |
| Device Explanted Year | 2026 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Type of Report
| Initial |
| Report Date (Section B) |
09/24/2026 |
| 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
|
| Operator of Device |
Lay User/Patient
|
| Device Expiration Date | 10/16/2025 |
| Device Model Number | CI612 |
| Device Catalogue Number | P774600 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 08/20/2026 |
| Is the Reporter a Health Professional? |
No
|
| Initial Date Received by Manufacturer | 08/31/2026 |
| Initial Report FDA Received Date | 09/24/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 10/17/2023 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Sex | Unknown |
|
|