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