Reported Reactions

Devices › Implant, cochlear

Device brand name · Nucleus 24 cochlear implant system

Nucleus Freedom Implant with Contour Advance Electrode: medical device reports filed with FDA

1,973 reports name it, 2012–2026. Manufacturer given most often on reports: Cochlear. Product code MCM.

1,973
device reports naming the brand
0% of all MAUDE reports · about 141 a year
189
reports, 12 months to August 2026
244 in the 12 months before
11.8%
classified as malfunction
43.1% across the product code
0.2%
classified as death, as reported
3 reports · not verified by FDA

1,973 medical device reports received by FDA name the brand "Nucleus Freedom Implant with Contour Advance Electrode" (nucleus 24 cochlear implant system); the manufacturer given most often on reports is Cochlear; received from July 2012 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

189 reports arrived in the 12 months to August 2026, down 23% from 244 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 (88%), malfunction (11.8%) and death (0.2%); 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 (13.8%), insufficient device problem information (4.2%) and migration (3.5%). The patient problems coded most often are appropriate clinical signs, symptoms and conditions term/code not available, pain and tissue breakdown. 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

01835Sep 2021: 27Oct 2021: 22Nov 2021: 29Dec 2021: 212022Jan 2022: 19Feb 2022: 26Mar 2022: 25Apr 2022: 18May 2022: 26Jun 2022: 15Jul 2022: 22Aug 2022: 27Sep 2022: 20Oct 2022: 30Nov 2022: 22Dec 2022: 212023Jan 2023: 14Feb 2023: 25Mar 2023: 25Apr 2023: 26May 2023: 26Jun 2023: 27Jul 2023: 19Aug 2023: 10Sep 2023: 17Oct 2023: 12Nov 2023: 17Dec 2023: 282024Jan 2024: 23Feb 2024: 21Mar 2024: 24Apr 2024: 20May 2024: 31Jun 2024: 16Jul 2024: 17Aug 2024: 17Sep 2024: 26Oct 2024: 18Nov 2024: 25Dec 2024: 172025Jan 2025: 18Feb 2025: 15Mar 2025: 16Apr 2025: 21May 2025: 35Jun 2025: 11Jul 2025: 19Aug 2025: 23Sep 2025: 15Oct 2025: 18Nov 2025: 22Dec 2025: 212026Jan 2026: 17Feb 2026: 15Mar 2026: 21Apr 2026: 12May 2026: 14Jun 2026: 9Jul 2026: 21Aug 2026: 4

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

01362712012: 320122016: 162017: 12220172018: 1582019: 14620192020: 1532021: 25620212022: 2712023: 24620232024: 2552025: 23420252026: 113

Event type and report source

Event type, as classified on the report

Death0.2%3
Injury88%1,737
Malfunction11.8%233
Other0%0
Not given0%0

Who filed the report

Manufacturer report73%1,440
Voluntary report0%0
User facility report0%0
Distributor report27%533
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
Expulsion27213.8%3.6%
Insufficient device problem information824.2%6%
Migrationthe device moved from where it was placed693.5%3.4%
Device dislodged or dislocated673.4%1.2%
Therapeutic or diagnostic output failure643.2%2.2%
Output problem623.1%6.9%
Circuit failure392%2.2%
Unexpected therapeutic results361.8%0.7%
Extrusion341.7%1.1%
Impedance problem261.3%7.6%
Migration or expulsion of device211.1%2.3%
Positioning failure211.1%1%
No device output191%5%
Electrical shorting160.8%0.4%
Device appears to trigger rejection130.7%0.8%
Failure to deliver shock/stimulation130.7%0.4%
Inadequacy of device shape and/or size130.7%0.2%
Patient-device incompatibilitythe device did not suit the patient110.6%0.3%
Patient device interaction problem100.5%0.3%
Signal artifact/noise90.5%0.2%

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 available39219.9%
Painpain, site not specified25512.9%
Tissue breakdown1738.8%
Hearing impairment1487.5%
Head injurya head injury794%
Implant pain703.5%
Failure of implant683.4%
Bacterial infectiona bacterial infection593%
Swelling/ edema472.4%
Headachehead pain422.1%
Wound dehiscencea wound reopened412.1%
Skin infection361.8%
Undesired nerve stimulation341.7%
Discomfortdiscomfort301.5%
Necrosisdeath of tissue301.5%

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

In context

MeasureNucleus Freedom Implant with Contour Advance ElectrodeProduct code MCMAll MAUDE reports
Reports1,97375,48126,136,888
Share of that pool—2.6%0%
Classified as death, per 1,000 reports219
Classified as injury88%56.2%36.2%
Classified as malfunction11.8%43.1%62.3%
Filed by the manufacturer73%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%
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 Nucleus Freedom Implant with Contour Advance Electrode reports

How many FDA reports name Nucleus Freedom Implant with Contour Advance Electrode?

1,973 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 189 in the latest 12 months.

What kinds of events are reported?

injury (88%), malfunction (11.8%) and death (0.2%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

expulsion (13.8%), insufficient device problem information (4.2%), migration (3.5%), device dislodged or dislocated (3.4%) and therapeutic or diagnostic output failure (3.2%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (73%) and distributor reports (27%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Nucleus Freedom Implant with Contour Advance 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.