PILLCAM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-11-09 for PILLCAM manufactured by Given Imaging, Inc..

Event Text Entries

[126655554] Gi fellow notified me of concerns he had with the capsule endoscopy studies. He noticed the capsule endoscopy study was very short and therefore could not report any findings because the study was incomplete. On further review of the study, it was determined the study only ran for 1:41 hours. A second study was then done on the patient. The second study ran for 7:55:30 hours after the patient swallowed a 12 hour capsule. The 2 studies were sent in to medtronic pillcam tech support to determine causes of short studies. 2 findings were reported. "bad sensor belt and shortened battery life of recorder battery". Unable to determine the bad sensor belt or shortened battery life of the recorder prior to use. Devices pulled from patient use. Manufacturer response for pill cam recorder and belt, (brand not provided) (per site reporter). Medtronic is aware and has informed us about the limited battery life although i don't think they have a response related to the sensor belt failure.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8054825
MDR Report Key8054825
Date Received2018-11-09
Date of Report2018-10-22
Date of Event2018-10-18
Report Date2018-10-22
Date Reported to FDA2018-10-22
Date Reported to Mfgr2018-11-09
Date Added to Maude2018-11-09
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePILLCAM
Generic NameSYSTEM, IMAGING, ESOPHAGEAL, WIRELESS, CAPSULE
Product CodeNSI
Date Received2018-11-09
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerGIVEN IMAGING, INC.
Manufacturer Address15 HAMPSHIRE STREET MANSFIELD MA 02048 US 02048


Patients

Patient NumberTreatmentOutcomeDate
10 2018-11-09

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