Reported Reactions

Devices › Implant, cochlear

Device brand name · Nucleus 22 cochlear implant system

Nucleus 22: medical device reports filed with FDA

1,030 reports name it, 2016–2026. Manufacturer given most often on reports: Cochlear. Product code MCM.

1,030
device reports naming the brand
0% of all MAUDE reports · about 108 a year
106
reports, 12 months to August 2026
94 in the 12 months before
30.7%
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 1,030 reports that name the brand "Nucleus 22" (nucleus 22 cochlear implant system), received between December 2016 and July 2026; the manufacturer given most often on reports is Cochlear. Spellings of one product vary from report to report.

106 reports arrived in the 12 months to August 2026, up 13% from 94 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 (69.3%) and malfunction (30.7%); 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 output problem (8.1%), therapeutic or diagnostic output failure (6.9%) and insufficient device problem information (5.4%). The patient problems coded most often are appropriate clinical signs, symptoms and conditions term/code not available, hearing impairment and pain. 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

01223Sep 2021: 9Oct 2021: 7Nov 2021: 15Dec 2021: 52022Jan 2022: 6Feb 2022: 4Mar 2022: 13Apr 2022: 11May 2022: 7Jun 2022: 5Jul 2022: 8Aug 2022: 17Sep 2022: 7Oct 2022: 13Nov 2022: 13Dec 2022: 172023Jan 2023: 10Feb 2023: 10Mar 2023: 4Apr 2023: 11May 2023: 11Jun 2023: 8Jul 2023: 7Aug 2023: 8Sep 2023: 8Oct 2023: 4Nov 2023: 6Dec 2023: 102024Jan 2024: 5Feb 2024: 11Mar 2024: 13Apr 2024: 8May 2024: 12Jun 2024: 3Jul 2024: 6Aug 2024: 9Sep 2024: 4Oct 2024: 8Nov 2024: 7Dec 2024: 42025Jan 2025: 16Feb 2025: 6Mar 2025: 6Apr 2025: 10May 2025: 13Jun 2025: 8Jul 2025: 8Aug 2025: 4Sep 2025: 16Oct 2025: 8Nov 2025: 13Dec 2025: 52026Jan 2026: 5Feb 2026: 9Mar 2026: 4Apr 2026: 13May 2026: 8Jun 2026: 2Jul 2026: 23Aug 2026: 0

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

0751492016: 1020162017: 772018: 8320182019: 1492020: 10820202021: 1182022: 12120222023: 972024: 9020242025: 1132026: 642026

Event type and report source

Event type, as classified on the report

Death0%0
Injury69.3%714
Malfunction30.7%316
Other0%0
Not given0%0

Who filed the report

Manufacturer report76.2%785
Voluntary report0%0
User facility report0%0
Distributor report23.8%245
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
Output problem838.1%6.9%
Therapeutic or diagnostic output failure716.9%2.2%
Insufficient device problem information565.4%6%
Unexpected therapeutic results565.4%0.7%
Expulsion444.3%3.6%
No device output363.5%5%
Impedance problem272.6%7.6%
Migrationthe device moved from where it was placed242.3%3.4%
Signal artifact/noise161.6%0.2%
Electrical shorting121.2%0.4%
Failure to deliver shock/stimulation111.1%0.4%
Extrusion80.8%1.1%
Intermittent shock/stimulation70.7%0.1%
Circuit failure60.6%2.2%
Device operates differently than expectedthe device behaved unexpectedly60.6%8.1%
Positioning failure60.6%1%
High impedance50.5%1.6%
Migration or expulsion of device50.5%2.3%
Patient-device incompatibilitythe device did not suit the patient50.5%0.3%
Increased sensitivity40.4%0%

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 available31630.7%
Hearing impairment22021.4%
Painpain, site not specified11110.8%
Failure of implant525%
Undesired nerve stimulation242.3%
Headachehead pain232.2%
Discomfortdiscomfort222.1%
Head injurya head injury191.8%
Dizzinesslight-headedness or unsteadiness161.6%
Implant pain131.3%
Tissue breakdown121.2%
Tinnitusringing in the ears101%
Vertigoa spinning sensation70.7%
Deafnesshearing loss60.6%
Wound dehiscencea wound reopened60.6%

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

In context

MeasureNucleus 22Product code MCMAll MAUDE reports
Reports1,03075,48126,136,888
Share of that pool—1.4%0%
Classified as death, per 1,000 reports019
Classified as injury69.3%56.2%36.2%
Classified as malfunction30.7%43.1%62.3%
Filed by the manufacturer76.2%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%
HiRes 90K Advantage Implant2,226860%
Nucleus Freedom Implant with Contour Advance Electrode1,9731890.2%
CLARION Implant1,7291690%
Nucleus CI522 Cochlear Implant with Slim Straight Electrode1,5841790%

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 Nucleus 22 reports

How many FDA reports name Nucleus 22?

1,030 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 106 in the latest 12 months.

What kinds of events are reported?

injury (69.3%) and malfunction (30.7%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

output problem (8.1%), therapeutic or diagnostic output failure (6.9%), insufficient device problem information (5.4%), unexpected therapeutic results (5.4%) and expulsion (4.3%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (76.2%) and distributor reports (23.8%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Nucleus 22 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.