UNKNOWN PILLCAM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,l report with the FDA on 2020-01-07 for UNKNOWN PILLCAM manufactured by Given Imaging Ltd., Yoqneam.

Event Text Entries

[174201884] Title efficacy and safety of extracorporeal shock-waves lithotripsy in biliary and pancreatic stones: a 12-years experience source turk j gastroenterol 2019; 30(suppl 3): s137-s912. September 3, 2019. (b)(4). If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[174201885] According to literature source of study performed on 2003 to 2018, they performed 633 examinations for the indication of suspected crohn's disease or known crohn's disease with suspected lesions in the small bowel. They used three different capsule systems. The evaluation for capsule endoscopy was after upper and lower gastrointestinal endoscopy and an anamnesis in respect of pain as the leading symptom. Radiology or patency capsule was not mandatory. A patency capsule was used in only 2 patients. Radiological examinations before capsule endoscopy were done in less than 15%. In these 633 examinations, they found significant lesions in the small bowel in more than 36%. Unsuspected retention happened in only 5 patients, two of them needed a surgical intervention because of a scarred stenosis (not diagnosed by cross sectional imaging). For the other 3 patients, the capsule was retrieved by enteroscopy.
Patient Sequence No: 1, Text Type: D, B5


[182655670] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9710107-2020-00021
MDR Report Key9559575
Report SourceFOREIGN,HEALTH PROFESSIONAL,L
Date Received2020-01-07
Date of Report2020-01-21
Date of Event2019-09-01
Date Mfgr Received2020-01-02
Date Added to Maude2020-01-07
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactAMY BEEMAN
Manufacturer Street161 CHESHIRE LANE, SUITE 100
Manufacturer CityPLYMOUTH MN 55441
Manufacturer CountryUS
Manufacturer Postal55441
Manufacturer Phone7632104064
Manufacturer G1GIVEN IMAGING LTD., YOQNEAM
Manufacturer StreetYETSIRA 13 STREET
Manufacturer CityYOQNEAM 20692
Manufacturer Postal Code20692
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN PILLCAM
Generic NameSYSTEM, IMAGING, GASTROINTESTINAL, WIRELESS, CAPSULE
Product CodeNEZ
Date Received2020-01-07
Model NumberUNKNOWN PILLCAM
Catalog NumberUNKNOWN PILLCAM
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerGIVEN IMAGING LTD., YOQNEAM
Manufacturer AddressYETSIRA 13 STREET YOQNEAM 20692 20692


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-01-07

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