BRAVO
Received Jun 16, 2026 · Event occurred May 19, 2026
Report 9710107-2026-00291 · MDR key 25519862
Device
Generic name
Electrode, Ph, Stomach
Manufacturer
Given Imaging Ltd., YoqneamModel number
FGS-0635Catalog number
FGS-0635
Lot number
68503F
Product problems
- Positioning Failure
Patient
NA · Unknown
- Airway Obstruction
Narrative
Additional Manufacturer Narrative
MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
Description of Event or Problem
IT WAS REPORTED THAT THE CAPSULE FAILED TO ATTACH TO THE PATIENT'S ESOPHAGUS AND WAS FOUND ON THE PATIENT'S MOUTH. ANOTHER CAPSULE WAS USED ON THE SAME PROCEDURE AND IT ATTACHED SUCCESSFULLY. THERE WAS NO PATIENT AND USER HARM. NO LUBRICANT WAS USED TO FACILITATE THE PLACEMENT OF THE CAPSULE.