Model Number FGS-0636 |
Device Problem
Loss of or Failure to Bond (1068)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 12/09/2019 |
Event Type
malfunction
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Manufacturer Narrative
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This product is not sold in us and is 510(k) exempt.If information is provided in the future, a supplemental report will be issued.
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Event Description
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According to the reporter, the capsule failed to attach.There was patient and user harm, no intervention was required, and a repeat procedure was performed.There was nothing unusual about the patient or the procedure and an endoscopy had been performed prior to the procedure and showed the esophagus to be normal.The capsule and the delivery system and capsule will be returned for investigation.
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Manufacturer Narrative
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If information is provided in the future, a supplemental report will be issued.
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Event Description
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According to the reporter, the capsule failed to attach.There was patient and user harm, no intervention was required, and a repeat procedure was performed.There was nothing unusual about the patient or the procedure and an endoscopy had been performed prior to the procedure and showed the esophagus to be normal.The capsule and the delivery system and capsule will be returned for investigation.
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Manufacturer Narrative
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Evaluation summary: this report is based on information provided by medtronic investigation personnel.One bravo was received for evaluation.The returned sample met specification as received by medtronic.The customer reported that, they had a capsule which failed to attach.The reported condition was not confirmed.The investigation found the device to function normally and within specifications.A review of the device history records indicated that this serial/lot number was released meeting all specifications as manufactured.If information is provided in the future, a supplemental report will be issued.
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Search Alerts/Recalls
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