inforMED
InjuryNSI

PILLCAM

Received Mar 14, 2019 · Event occurred Feb 18, 2019

Report 9710107-2019-00092 · MDR key 8422999

Device

Generic name

System, Imaging, Esophageal, Wireless, Capsule

Model number

FGS-0110

Catalog number

FGS-0110

Lot number

43713

Product problems

  • Entrapment of Device
  • Entrapment of Device

Patient

56 YR

  • Radiation Exposure, Unintended
  • Radiation Exposure, Unintended

Narrative

Additional Manufacturer Narrative

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem

ACCORDING TO THE REPORTER, THEY HAD A RETAINED CAPSULE. THE KUB (KIDNEY, URETER, BLADDER) X-RAY DONE SHOWED THAT THE PREVIOUSLY NOTED RECTANGULAR RADIODENSITY WAS NOW APPARENT AT THE LEFT ASPECT OF THE ABDOMEN/UPPER PELVIS, AT THE LEVEL OF THE PELVIC BRIM, PROBABLY IN THE DESCENDING COLON. IT WAS ASSUMED THAT THE PATIENT PASSED THE CAPSULE. THE PATIENT REPORTED DAILY BOWEL MOVEMENT WITH NO ABDOMINAL PAIN. THE LAST KNOWN PATIENT STATUS WAS DOING WELL.