FDA Adverse Event
Injury
Summary report: N
BRAVO CF CAPSULE
MDR report key: 23512043
·
Received November 10, 2025
Report
- Report Number
- MW5178702
- Event Type
- Injury
- Date Received
- November 10, 2025
- Date of Event
- November 4, 2025
- Report Date
- November 5, 2025
- Manufacturer
- GIVEN IMAGING LTD./GIVEN IMAGING INC.
- Product Code
- FFT
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PT WAS HERE FOR EGD WITH BRAVO PLACEMENT. BRAVO CAPSULE DID NOT RELEASE FROM GUIDEWIRE DURING PLACEMENT (WAS STILL ATTACHED WHEN REMOVED FROM PT AND NOT PLACED IN ESOPHAGUS AS IT WAS SUPPOSED TO BE). NO HARM TO PT. ANOTHER CAPSULE WAS USED INSTEAD AND DEPLOYED CORRECTLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1934543 | BRAVO CF CAPSULE | ELECTRODE, PH, STOMACH | FFT | GIVEN IMAGING LTD./GIVEN IMAGING INC. | FGS-0636 | 67110F |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |