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

Lot Number N/A

Device Problem Appropriate Term/Code Not Available (3191)

Patient Problems Necrosis Of Flap Tissue (1972); Skin Erosion (2075)

Event Type  Injury  

Manufacturer Narrative

This report is submitted on april 10, 2018.(b)(4).

Event Description

Per the clinic, the patient experienced breakdown of skin at magnet site and a subsequent necrosis of skin flap (date not reported), clinical management is ongoing.

• Brand Name: NI
• Type of Device: COCHLEAR BAHA ATTRACT SYSTEM
• Manufacturer (Section D): COCHLEAR BONE ANCHORED SOLUTIONS AB; konstruktionsvägen 14; po box 82; mölnlycke, 435 2 2; SW 435 22
• Manufacturer Contact: kristel kohne ; 1 university avenue; macquarie university, nsw 2109, ; AS 2109,
• MDR Report Key: 7410288
• MDR Text Key: 104798546
• Report Number: 6000034-2018-00695
• Device Sequence Number: 1
• Product Code: LXB
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: NI
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: user facility
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 03/17/2018

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/09/2018
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Lay User/Patient
• Device Lot Number: N/A
• Was the Report Sent to FDA?: No
• Date Manufacturer Received: 03/17/2018
• 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: N
• Patient Sequence Number: 1
• Patient Outcome(s): Required Intervention