inforMED
InjuryPGD

PILLCAM

Received Oct 8, 2019 · Event occurred Sep 10, 2019

Report 9710107-2019-00446 · MDR key 9166106

Device

Generic name

Colon Capsule Imaging System

Model number

FGS-0517

Catalog number

FGS-0517

Lot number

46735C

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

51 YR

  • Dehydration
  • Vomiting
  • Dehydration
  • Vomiting

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, THE PATIENT FELT THAT THEY WERE DEHYDRATED AND VOMITED. THE PATIENT DECIDED TO GO TO THE EMERGENCY ROOM AND WAS TREATED WITH IV (INTRAVENOUS) FLUIDS AND WITH A MEDICATION PRAMIN. THE PATIENT WAS DISCHARGED AFTER 4 HOURS IN GOOD GENERAL CONDITION. THE PATIENT WAS PREPPED FOR THE PROCEDURE AND WAS NOT UNDER ANESTHESIA. A REPEAT PROCEDURE WAS NOT NECESSARY.