FDA Adverse Event Malfunction Summary report: N

BRAVO

MDR report key: 1032203 · Received April 21, 2008

Report

Report Number
2950887-2008-02097
Event Type
Malfunction
Date Received
April 21, 2008
Date of Event
January 1, 2004
Report Date
February 15, 2008
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
FFT
PMA / PMN Number
K002028
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS BEING SUBMITTED FOLLOWING AN INTERNAL AUDIT.

Description of Event or Problem · 1

LITERATURE REFERENCE: BHAT YM, MCGRATH KM, BIELEFELDT K, WIRELESS ESOPHAGEAL PH MONITORING: NEW TECHNIQUE MEANS NEW QUESTIONS. J CLIN GASTROENTEROL 2006; 40(2): 116-121. TWO HUNDRED-SEVENTEEN PTS ENROLLED IN A RESEARCH REGISTRY TO ASSESS THE FEASIBILITY AND SAFETY OF WIRELESS PH MONITORING OVER A 12 MO PERIOD. ONE PT HAD A SECOND CAPSULE INSERTED DURING THE SAME SESSION BECAUSE THE FIRST CAPSULE DID NOT SUCCESSFULLY RELEASE DURING THE INITIAL ATTEMPT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BRAVO FFT MEDTRONIC NEUROMODULATION 9012B1001 UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK