BRAVO

Description of Event or Problem

IT WAS REPORTED THAT THEY HAD A CAPSULE WHICH FAILED TO ATTACH TO THE PATIENT¿S ESOPHAGUS AND FOUND IN THE PATIENT¿S ESOPHAGUS. THE CAPSULE WAS RETRIEVED FROM THE PATIENT¿S ESOPHAGUS USING AN UNKNOWN RETRIEVAL DEVICE. A SECOND ATTEMPT TO PLACE A CAPSULE WAS PERFORMED AND THE CAPSULE WAS SUCCESSFULLY ATTACHED. THERE WAS NO PATIENT OR USER HARM.

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. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.