Reported Reactions

Devices › Implant, cochlear

Device brand name · Nucleus 24 cochlear implant system

Nucleus CI422 Cochlear Implant with Slim Straight Electrode: medical device reports filed with FDA

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

694
device reports naming the brand
0% of all MAUDE reports · about 72 a year
52
reports, 12 months to August 2026
63 in the 12 months before
13.4%
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 694 reports that name the brand "Nucleus CI422 Cochlear Implant with Slim Straight Electrode" (nucleus 24 cochlear implant system), received between December 2016 and August 2026; the manufacturer given most often on reports is Cochlear. Spellings of one product vary from report to report.

52 reports arrived in the 12 months to August 2026, down 17% from 63 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 (86.5%) and malfunction (13.4%); 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 expulsion (12.1%), circuit failure (5.5%) and migration (5.2%). The patient problems coded most often are hearing impairment, appropriate clinical signs, symptoms and conditions term/code not available and head injury. 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

0611Sep 2021: 4Oct 2021: 3Nov 2021: 2Dec 2021: 72022Jan 2022: 1Feb 2022: 4Mar 2022: 5Apr 2022: 4May 2022: 2Jun 2022: 8Jul 2022: 7Aug 2022: 4Sep 2022: 3Oct 2022: 2Nov 2022: 5Dec 2022: 102023Jan 2023: 3Feb 2023: 4Mar 2023: 2Apr 2023: 4May 2023: 7Jun 2023: 3Jul 2023: 11Aug 2023: 5Sep 2023: 2Oct 2023: 11Nov 2023: 5Dec 2023: 42024Jan 2024: 2Feb 2024: 4Mar 2024: 10Apr 2024: 7May 2024: 4Jun 2024: 5Jul 2024: 4Aug 2024: 3Sep 2024: 10Oct 2024: 2Nov 2024: 7Dec 2024: 32025Jan 2025: 10Feb 2025: 2Mar 2025: 9Apr 2025: 4May 2025: 2Jun 2025: 3Jul 2025: 8Aug 2025: 3Sep 2025: 6Oct 2025: 3Nov 2025: 8Dec 2025: 22026Jan 2026: 3Feb 2026: 5Mar 2026: 3Apr 2026: 5May 2026: 5Jun 2026: 1Jul 2026: 8Aug 2026: 3

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

049972016: 820162017: 862018: 9720182019: 762020: 9520202021: 622022: 5520222023: 612024: 6120242025: 602026: 332026

Event type and report source

Event type, as classified on the report

Death0%0
Injury86.5%600
Malfunction13.4%93
Other0%0
Not given0.1%1

Who filed the report

Manufacturer report99.6%691
Voluntary report0%0
User facility report0%0
Distributor report0.4%3
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
Expulsion8412.1%3.6%
Circuit failure385.5%2.2%
Migrationthe device moved from where it was placed365.2%3.4%
No device output324.6%5%
Device dislodged or dislocated284%1.2%
Migration or expulsion of device182.6%2.3%
Extrusion162.3%1.1%
Insufficient device problem information142%6%
Output problem142%6.9%
Electrical shorting131.9%0.4%
Failure to deliver shock/stimulation111.6%0.4%
Therapeutic or diagnostic output failure111.6%2.2%
High impedance101.4%1.6%
Device operates differently than expectedthe device behaved unexpectedly81.2%8.1%
Impedance problem71%7.6%
Patient-device incompatibilitythe device did not suit the patient50.7%0.3%
Communication or transmission problemthe device could not communicate or transmit40.6%0.1%
Patient device interaction problem30.4%0.3%
Positioning failure30.4%1%
Activation, positioning or separation problem20.3%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
Hearing impairment8912.8%
Appropriate clinical signs, symptoms and conditions term/code not available7410.7%
Head injurya head injury446.3%
Painpain, site not specified415.9%
Bacterial infectiona bacterial infection355%
Failure of implant334.8%
Tissue breakdown304.3%
Medical device site infectioninfection at the device site273.9%
Skin infection172.4%
Undesired nerve stimulation142%
Swelling/ edema131.9%
Wound dehiscencea wound reopened101.4%
Necrosisdeath of tissue91.3%
Erythemaskin redness71%
Headachehead pain60.9%

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

In context

MeasureNucleus CI422 Cochlear Implant with Slim Straight ElectrodeProduct code MCMAll MAUDE reports
Reports69475,48126,136,888
Share of that pool—0.9%0%
Classified as death, per 1,000 reports019
Classified as injury86.5%56.2%36.2%
Classified as malfunction13.4%43.1%62.3%
Filed by the manufacturer99.6%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 CI422 Cochlear Implant with Slim Straight Electrode reports

How many FDA reports name Nucleus CI422 Cochlear Implant with Slim Straight Electrode?

694 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 52 in the latest 12 months.

What kinds of events are reported?

injury (86.5%) and malfunction (13.4%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

expulsion (12.1%), circuit failure (5.5%), migration (5.2%), no device output (4.6%) and device dislodged or dislocated (4%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.6%) and distributor reports (0.4%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Nucleus CI422 Cochlear Implant with Slim Straight Electrode 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.