| Date Initiated by Firm | June 03, 2025 |
| Date Posted | July 10, 2025 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-2047-2025 |
| Recall Event ID |
97029 |
| 510(K)Number | K102543 |
| Product Classification |
Electrode, pH, stomach - Product Code FFT
|
| Product | Bravo CF capsule delivery device, designed to place and attach a pH monitoring capsule to the esophagus using endoscopic or manometric guidance, Product Number FGS-0635 (5 pack) and FGS-0636 (1 pack) |
| Code Information |
FGS-0635: UDI-DI: 07290101369707; Lot Numbers: 61164F
61407F
61933F
62142F
62418F
62884F
63152F
63668F
64065F
64096F
64291F
61165F
61408F
61934F
62143F
62419F
62885F
63154F
63669F
64066F
64261F
64550F
61166F
61409F
61935F
62144F
62420F
62886F
63155F
63670F
64067F
64262F
64551F
61167F
61410F
61936F
62145F
62421F
62887F
63156F
63671F
64068F
64263F
64552F
61168F
61411F
61937F
62146F
62422F
62888F
63157F
63672F
64069F
64264F
64553F
61169F
61412F
61938F
62147F
62656F
62889F
63158F
63673F
64070F
64265F
64554F
61170F
61413F
61939F
62148F
62657F
62890F
63159F
63674F
64071F
64266F
64555F
61171F
61414F
61940F
62149F
62658F
62891F
63391F
63675F
64072F
64267F
64557F
61172F
61415F
62031F
62150F
62659F
62892F
63392F
63676F
64073F
64268F
64558F
61173F
61416F
62032F
62151F
62660F
62893F
63393F
63677F
64074F
64269F
64559F
61352F
61708F
62033F
62152F
62661F
62894F
63394F
63679F
64075F
64270F
64560F
61386F
61709F
62034F
62153F
62662F
62895F
63395F
63680F
64076F
64271F
64561F
61387F
61711F
62035F
62154F
62663F
62896F
63396F
63681F
64077F
64272F
64563F
61388F
61712F
62036F
62155F
62664F
62897F
63397F
63682F
64078F
64273F
64564F
61389F
61713F
62037F
62156F
62665F
63135F
63398F
63683F
64079F
64274F
64825F
61390F
61714F
62038F
62157F
62666F
63136F
63399F
63684F
64080F
64275F
64826F
61391F
61715F
62039F
62158F
62667F
63137F
63400F
63879F
64081F
64276F
64827F
61392F
61716F
62040F
62159F
62668F
63138F
63401F
63880F
64082F
64277F
64831F
61393F
61717F
62041F
62160F
62669F
63139F
63402F
63881F
64083F
64278F
65088F
61394F
61718F
62042F
62161F
62670F
63140F
63403F
63882F
64084F
64279F
65094F
61395F
61719F
62130F
62407F
62671F
63141F
63404F
63883F
64085F
64280F
61396F
61720F
62131F
62408F
62672F
63142F
63405F
63884F
64086F
64281F
61397F
61721F
62132F
62409F
62673F
63143F
63406F
63885F
64087F
64282F
61398F
61722F
62133F
62410F
62674F
63144F
63407F
63886F
64088F
64283F
61400F
61723F
62134F
62411F
62877F
63145F
63408F
63887F
64089F
64284F
61401F
61724F
62135F
62412F
62878F
63146F
63409F
63888F
64090F
64285F
61402F
61928F
62136F
62413F
62879F
63147F
63410F
63889F
64091F
64286F
61403F
61929F
62137F
62414F
62880F
63148F
63411F
63890F
64092F
64287F
61404F
61930F
62138F
62415F
62881F
63149F
63412F
63891F
64093F
64288F
61405F
61931F
62139F
62416F
62882F
63150F
63413F
63892F
64094F
64289F
61406F
61932F
62141F
62417F
62883F
63151F
63414F
64064F
64095F
64290F;
FGS-0636: UDI-DI: 07290101369714, Lot Numbers: 61353F
61354F
61399F
61710F
62032F
62042F
62140F
62419F
62669F
62885F
63153F
63415F
63678F
65088F |
| FEI Number |
3003348376
|
Recalling Firm/ Manufacturer |
Given Imaging Ltd. New Industrial Park, POB 258 2 Hacarmel St. Yokne'Am Ilit Israel
|
| For Additional Information Contact | Sabrina Zimring 720-774-3454 |
Manufacturer Reason for Recall | It has been determined that misapplied adhesive on the Bravo CF capsule delivery device may lead to its malfunction. Specifically, the misapplied adhesive may prevent the capsule from attaching to the patient's esophagus or detaching from the delivery device. |
FDA Determined Cause 2 | Process control |
| Action | An URGENT: MEDICAL DEVICE RECALL notification letter was sent to customers beginning on 6/3/25.
Actions:
"Immediately identify and quarantine all unused FGS-0635 (Bravo CF capsule delivery device, 5-pk)and FGS-0636 (Bravo CF capsule delivery device, 1-pk). See Attachment A and Attachment B for affected lot numbers.
"Return all unused, affected product(s) to Medtronic for replacement/credit as described on the Customer Confirmation Form.
"Please complete and e-mail the enclosed Customer Confirmation Form to rs.gmbmitgfca@medtronic.com, even if you do not have unused inventory.
"Pass on this notice to all those who need to be aware within your organization or to any organization where the affected product has been transferred or distributed.
Local contact details:
Adverse reactions or quality problems experienced with this product should be reported to the FDA and Medtronic:
"Online at http://www.fda.gov/Safety/MedWatch/HowToReport/default.htm (form available to fax or mail) or call FDA (800) FDA-1088
"Call Medtronic at 800-448-3644, Option 3
An Update to URGENT: MEDICAL DEVICE RECALL notification letter dated 6/16/25 was sent to customers.
Medtronic recently notified you of a voluntary recall of specific lots of the Bravo CF capsule delivery device. In the original notification letter sent on 03 June 2025 we separated impacted lot numbers by product number. Please note that the Lot numbers listed in Appendix A below can be found on both the 5-pk FGS-0635 outer label and on the 1-pk FGS-036 individual units. Customers should check the full list of Lot numbers listed in the appendices when inspecting inventory.
A revised Appendix A is attached to this letter.
If you have already completed product inspection and returned the Customer Confirmation form, please re-inspect your inventory against the full list of impacted Lot numbers and re-submit the form to: rs.gmbmitgfca@medtronic.com |
| Quantity in Commerce | 128,202 units |
| Distribution | US Nationwide. Global Distribution. |
| Total Product Life Cycle | TPLC Device Report |
|
1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls. 2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall. 3 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
|
| 510(K) Database | 510(K)s with Product Code = FFT
|