Reported Reactions

Devices › Implant, cochlear

Device brand name · Cochlear implant

HiRes 90K Advantage Implant: medical device reports filed with FDA

2,226 reports name it, 2012–2026. Manufacturer given most often on reports: Advanced Bionics. Product code MCM.

2,226
device reports naming the brand
0% of all MAUDE reports · about 162 a year
86
reports, 12 months to August 2026
98 in the 12 months before
19.9%
classified as malfunction
43.1% across the product code
0%
classified as death, as reported
0 reports · not verified by FDA

FDA's MAUDE database holds 2,226 reports that name the brand "HiRes 90K Advantage Implant" (cochlear implant), received between October 2012 and August 2026; the manufacturer given most often on reports is Advanced Bionics. Spellings of one product vary from report to report.

86 reports arrived in the 12 months to August 2026, down 12% from 98 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are injury (79.9%) and malfunction (19.9%); across all implant, cochlear reports (product code MCM) death is recorded in 0.1% and malfunction in 43.1%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are insufficient device problem information (17%), migration or expulsion of device (8.9%) and material protrusion/extrusion (5.9%). The patient problems coded most often are appropriate clinical signs, symptoms and conditions term/code not available, pain and failure of implant. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

01224Sep 2021: 24Oct 2021: 5Nov 2021: 10Dec 2021: 142022Jan 2022: 14Feb 2022: 11Mar 2022: 14Apr 2022: 8May 2022: 11Jun 2022: 14Jul 2022: 17Aug 2022: 7Sep 2022: 10Oct 2022: 10Nov 2022: 17Dec 2022: 52023Jan 2023: 7Feb 2023: 19Mar 2023: 16Apr 2023: 10May 2023: 12Jun 2023: 16Jul 2023: 17Aug 2023: 17Sep 2023: 9Oct 2023: 13Nov 2023: 8Dec 2023: 92024Jan 2024: 11Feb 2024: 12Mar 2024: 10Apr 2024: 6May 2024: 12Jun 2024: 2Jul 2024: 2Aug 2024: 5Sep 2024: 12Oct 2024: 11Nov 2024: 4Dec 2024: 42025Jan 2025: 8Feb 2025: 9Mar 2025: 11Apr 2025: 10May 2025: 8Jun 2025: 7Jul 2025: 9Aug 2025: 5Sep 2025: 2Oct 2025: 10Nov 2025: 10Dec 2025: 92026Jan 2026: 5Feb 2026: 6Mar 2026: 9Apr 2026: 14May 2026: 9Jun 2026: 4Jul 2026: 3Aug 2026: 5

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

01302592012: 920122013: 842014: 14920142015: 2342016: 20120162017: 2592018: 20220182019: 2122020: 18520202021: 1562022: 13820222023: 1532024: 9120242025: 982026: 552026

Event type and report source

Event type, as classified on the report

Death0%0
Injury79.9%1,779
Malfunction19.9%444
Other0%0
Not given0.1%3

Who filed the report

Manufacturer report100%2,226
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0%0

Grey bar: all 75,481 reports carrying product code MCM. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Insufficient device problem information37917%6%
Migration or expulsion of device1988.9%2.3%
Material protrusion/extrusion1325.9%0.4%
Expulsion1285.8%3.6%
Device operates differently than expectedthe device behaved unexpectedly1265.7%8.1%
Electrical /electronic property probleman electrical or electronic problem843.8%0.3%
Extrusion843.8%1.1%
Migrationthe device moved from where it was placed833.7%3.4%
Electrostatic discharge743.3%0.2%
Therapeutic or diagnostic output failure733.3%2.2%
Intermittent communication failure632.8%0.6%
Output problem532.4%6.9%
Mechanical problema mechanical problem472.1%9.6%
Positioning problem462.1%0.3%
Device dislodged or dislocated452%1.2%
Malposition of device351.6%0.7%
No device output351.6%5%
Patient-device incompatibilitythe device did not suit the patient291.3%0.3%
Device slipped281.3%0.2%
Loose or intermittent connection231%0.4%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Appropriate clinical signs, symptoms and conditions term/code not available36016.2%
Painpain, site not specified26712%
Failure of implant1295.8%
Swellingswelling803.6%
Head injurya head injury622.8%
Discomfortdiscomfort602.7%
Inflammationinflammation532.4%
Swelling/ edema522.3%
Undesired nerve stimulation482.2%
Skin infection472.1%
Tissue breakdown421.9%
Erythemaskin redness401.8%
Cerebrospinal fluid leakage381.7%
Hearing loss371.7%
Hearing impairment341.5%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureHiRes 90K Advantage ImplantProduct code MCMAll MAUDE reports
Reports2,22675,48126,136,888
Share of that pool—2.9%0%
Classified as death, per 1,000 reports019
Classified as injury79.9%56.2%36.2%
Classified as malfunction19.9%43.1%62.3%
Filed by the manufacturer100%91.7%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code MCM

BrandReportsLatest 12 monthsClassified as death
Nucleus 24 Channel Cochlear Implant System12,13700.1%
Med-El Maestro Cochlear Implant System7,39100%
MED-EL Combi 40+ Cochlear Implant System6,14900%
HiRes Ultra Implant5,3844040%
HiRes Ultra 3D Implant4,1775320.1%
HiRes 90K3,452300.1%
HiRes 90K Implant2,754890%
Nucleus CI512 Cochlear Implant with Contour Advance Electrode2,6052320%
Clarion2,56300.8%
Nucleus CI622 Cochlear Implant with Slim Straight Electrode2,3985100%
Nucleus CI632 Profile Plus with Slim Modiolar Electrode2,3534610%
Nucleus Freedom Implant with Contour Advance Electrode1,9731890.2%
CLARION Implant1,7291690%
Nucleus CI522 Cochlear Implant with Slim Straight Electrode1,5841790%
Synchrony1,2984900%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about HiRes 90K Advantage Implant reports

How many FDA reports name HiRes 90K Advantage Implant?

2,226 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 86 in the latest 12 months.

What kinds of events are reported?

injury (79.9%) and malfunction (19.9%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

insufficient device problem information (17%), migration or expulsion of device (8.9%), material protrusion/extrusion (5.9%), expulsion (5.8%) and device operates differently than expected (5.7%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (100%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that HiRes 90K Advantage Implant was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.