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Adverse Event Report

COCHLEAR LTD. NUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM   back to search results
Model Number CI24M
Device Problem Emergency table stop failure
Event Date 10/09/2003
Event Type  Malfunction  
Event Description

Multiple short circuits were noted along the electrode array and an x-ray revealed the electrode was kinked. Analysis of the device revealed electrode failure. Explantation/reimlantation surgery was performed.

 
Manufacturer Narrative

Intermittent open and short circuis were detected on multiple electrodes. It cannot be ruled out that electrode damage occurred during explantation. The device passed all tests conducted to verify the proper operation of the stimulator. Bends, kinks, tears and exposed wires consistent with explantation were observed along the electrode lead and array. Approximately half way along the electrode lead, there was a tear observed with broken electrode wires visible within the tear. Kinks, cuts and exposed wires consistent with explantation were observed along the ball electrode lead, with the lead severed at approximately its midspan and not returned. There were tears observed in the silicone carrier of the device. No signs of body fluid were visible within the tears. X-rays of the device showed no anomalies aside from those described above. During testing, intermittent short circuits were detected on electrodes e1, e3, e15 and e20, intermittent open circuits were detected along electrodes e2, e6, and e22, and permanent open circuits were detected on electrodes e11, e12 and e17. At the location of the tear/broken electrode wires, open circuits were detected on electrodes e2, e6, e11, e12, e17 and e22. An open circuit was detected on e15 along the electrode array. The device passed all electrical testing conducted to confirm operation of the stimulator.

 
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Brand NameNUCLEUS 24 CHANNEL COCHLEAR IMPLANT SYSTEM
Type of Device24 CHANNEL COCHLEAR IMPLANT
Baseline Brand NameNUCLEUS 24 COCHLEAR IMPLANT SYSTEM
Baseline Generic NameCOCHLEAR IMPLANT
Baseline Model NumberCI24M
Baseline Device FamilyCOCHLEAR IMPLANT
Baseline Device 510(K) Number
Baseline Device PMA NumberP840024
Baseline Shelf Life Information Yes
Baseline Preamendment? No
Transitional? No
510(K) Exempt? No
Shelf Life(Months)24
Date First Marketed06/25/1998
Manufacturer (Section F)
COCHLEAR LTD.
14 mars road
lane cove, nsw
AUSTRALIA 2066
Manufacturer (Section D)
COCHLEAR LTD.
14 mars road
lane cove, nsw
AUSTRALIA 2066
Manufacturer Contact
marilyn nelson, r.n.
400 inverness drive south
suite 400
englewood , CO 80112
(303) 790 -9010
Device Event Key482401
MDR Report Key493696
Event Key468066
Report Number6000034-2003-00225
Device Sequence Number1
Product CodeMCM
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Other
Type of Report Initial
Report Date 10/31/2003
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received10/31/2003
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator Lay User/Patient
Device MODEL NumberCI24M
Was Device Available For Evaluation? Device Returned To Manufacturer
Date Returned to Manufacturer08/19/2003
Is The Reporter A Health Professional? No
Was the Report Sent to FDA? No
Device Agena
Date Manufacturer Received10/09/2003
Was Device Evaluated By Manufacturer? No
Is The Device Single Use? Yes
Is this a Reprocessed and Reused Single-Use Device? No
Is the Device an Implant? Yes
Is this an Explanted Device?
Type of Device Usage Initial

Database last updated on January 30, 2009

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