Reported Reactions

Devices › Implant, cochlear

Device brand name · Nucleus 24 cochlear implant system

Nucleus Freedom Implant with Straight Electrode: medical device reports filed with FDA

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

370
device reports naming the brand
0% of all MAUDE reports · about 36 a year
22
reports, 12 months to August 2026
25 in the 12 months before
14.1%
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 370 reports that name the brand "Nucleus Freedom Implant with Straight Electrode" (nucleus 24 cochlear implant system), received between February 2016 and August 2026; the manufacturer given most often on reports is Cochlear. Spellings of one product vary from report to report.

22 reports arrived in the 12 months to August 2026, down 12% from 25 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 (85.9%) and malfunction (14.1%); 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 (17.8%), no device output (5.4%) and migration (4.3%). The patient problems coded most often are hearing impairment, appropriate clinical signs, symptoms and conditions term/code not available and bacterial infection. 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

048Sep 2021: 2Oct 2021: 8Nov 2021: 2Dec 2021: 22022Jan 2022: 2Feb 2022: 0Mar 2022: 4Apr 2022: 3May 2022: 1Jun 2022: 5Jul 2022: 0Aug 2022: 2Sep 2022: 2Oct 2022: 2Nov 2022: 0Dec 2022: 32023Jan 2023: 3Feb 2023: 3Mar 2023: 1Apr 2023: 2May 2023: 1Jun 2023: 0Jul 2023: 1Aug 2023: 2Sep 2023: 3Oct 2023: 0Nov 2023: 3Dec 2023: 02024Jan 2024: 3Feb 2024: 3Mar 2024: 2Apr 2024: 3May 2024: 0Jun 2024: 1Jul 2024: 3Aug 2024: 3Sep 2024: 2Oct 2024: 2Nov 2024: 1Dec 2024: 32025Jan 2025: 1Feb 2025: 1Mar 2025: 4Apr 2025: 2May 2025: 2Jun 2025: 3Jul 2025: 3Aug 2025: 1Sep 2025: 0Oct 2025: 2Nov 2025: 1Dec 2025: 22026Jan 2026: 1Feb 2026: 5Mar 2026: 2Apr 2026: 5May 2026: 0Jun 2026: 1Jul 2026: 2Aug 2026: 1

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

034672016: 720162017: 502018: 5320182019: 382020: 6720202021: 472022: 2420222023: 192024: 2620242025: 222026: 172026

Event type and report source

Event type, as classified on the report

Death0%0
Injury85.9%318
Malfunction14.1%52
Other0%0
Not given0%0

Who filed the report

Manufacturer report100%370
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
Expulsion6617.8%3.6%
No device output205.4%5%
Migrationthe device moved from where it was placed164.3%3.4%
Device dislodged or dislocated154.1%1.2%
Insufficient device problem information123.2%6%
Circuit failure102.7%2.2%
Extrusion102.7%1.1%
Migration or expulsion of device92.4%2.3%
Impedance problem61.6%7.6%
Therapeutic or diagnostic output failure51.4%2.2%
Communication or transmission problemthe device could not communicate or transmit41.1%0.1%
Device appears to trigger rejection41.1%0.8%
Output problem41.1%6.9%
Positioning failure41.1%1%
Patient device interaction problem30.8%0.3%
High impedance20.5%1.6%
Biocompatibility10.3%0%
Device operates differently than expectedthe device behaved unexpectedly10.3%8.1%
Device stops intermittentlythe device stopped now and then10.3%1.2%
Electrical shorting10.3%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
Hearing impairment4311.6%
Appropriate clinical signs, symptoms and conditions term/code not available3710%
Bacterial infectiona bacterial infection338.9%
Tissue breakdown195.1%
Painpain, site not specified143.8%
Head injurya head injury133.5%
Swelling/ edema123.2%
Necrosisdeath of tissue102.7%
Purulent discharge102.7%
Failure of implant92.4%
Meningitis92.4%
Infectious otitis media82.2%
Skin infection71.9%
Fluid discharge61.6%
Inflammationinflammation61.6%

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

In context

MeasureNucleus Freedom Implant with Straight ElectrodeProduct code MCMAll MAUDE reports
Reports37075,48126,136,888
Share of that pool—0.5%0%
Classified as death, per 1,000 reports019
Classified as injury85.9%56.2%36.2%
Classified as malfunction14.1%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%
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 Freedom Implant with Straight Electrode reports

How many FDA reports name Nucleus Freedom Implant with Straight Electrode?

370 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 22 in the latest 12 months.

What kinds of events are reported?

injury (85.9%) and malfunction (14.1%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

expulsion (17.8%), no device output (5.4%), migration (4.3%), device dislodged or dislocated (4.1%) and insufficient device problem information (3.2%). 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 Nucleus Freedom Implant with 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.