FDA Adverse Event Malfunction Summary report: N

BRAVO

MDR report key: 1030947 · Received April 17, 2008

Report

Report Number
2032545-2008-02026
Event Type
Malfunction
Date Received
April 17, 2008
Date of Event
February 21, 2008
Report Date
March 17, 2008
Manufacturer
ARIZONA DEVICE MANUFACTURING
Product Code
FFT
PMA / PMN Number
K002028
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

FINAL DEVICE ANALYSIS REVEALED NO SIGNIFICANT ANOMALIES. THERE WAS NOT ENOUGH INFO TO DETERMINE THE ROOT CAUSE OF THE FAILURE. THE CAPSULE WAS RETURNED SEPARATE FROM THE DELIVERY SYSTEM. THE TROCAR NEEDLE WAS FULLY ADVANCED WITH SOME BLOOD/TISSUE PRESENT. THE PLUNGER WAS FULLY DEPRESSED AND RETRACTED. THE ANALYST DID A VISUAL INSPECTION OF THE PUSH/PULL WIRES AND FOUND NO ABNORMALITIES.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHILE PLACING THE BRAVO PH MONITOR, THE CAPSULE DID NOT ATTACH TO THE PATIENT'S ESOPHAGUS. THE CAPSULE FELL OFF INTO THE PATIENT'S MOUTH. NO SERIOUS INJURY TO THE PT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BRAVO FFT ARIZONA DEVICE MANUFACTURING 9012B1001 Q210552

Patients

Seq Age Sex Outcome Treatment
1