FDA Adverse Event
Summary report: N
BRAVO
MDR report key: 11130826
·
Received January 7, 2021
Report
- Report Number
- 11130826
- Date Received
- January 7, 2021
- Date of Event
- December 21, 2020
- Report Date
- January 4, 2021
- Manufacturer
- COVIDIEN LP
- Product Code
- FFT
- Report Source
- User Facility report
- Reporter Location
- AZ
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
COVIDIEN LP BRAVO PH CAPSULES DID NOT DEPLOY AFTER TWO ATTEMPTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 29352 | BRAVO | ELECTRODE, PH, STOMACH | FFT | COVIDIEN LP | FGS-0636 | 49081F |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 28835 DA |