Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1620-2016Class II

Given Imaging Bravo pH capsule delivery device, 1-pack. In- Vitor Diagnostic for pH monitoring of gastric...

Medtronic, Inc. / initiated 2016-04-15 / Terminated / root cause: design

Covidien LLC began a recall of Given Imaging Bravo pH capsule delivery device, 1-pack. In- Vitor Diagnostic for pH monitoring of gastric reflux Item Number: FGS-0313 The Bravo pH Monitoring... on . FDA classified it as Class II and gives the reason as "Potential of an allergic reaction in a patient with nickel sensitivity". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-1620-2016
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Medtronic, Inc.
Product
Given Imaging Bravo pH capsule delivery device, 1-pack. In- Vitor Diagnostic for pH monitoring of gastric reflux Item Number: FGS-0313 The Bravo pH Monitoring System is intended to be used for gastroesophageal pH measurement and monitoring of gastric reflux in adults and children from 4 years of age. The Bravo pH Capsule can be attached following either endoscopy or manometry. The RAPID pH software is intended to record, store, view, and analyze gastroesophageal pH data.
Product code
FFT Electrode, Ph, Stomach
Reason for recall
Potential of an allergic reaction in a patient with nickel sensitivity.
Root cause tag
design
FDA root cause
Device Design
Action
The firm, Medtronic, sent an "URGENT: Medical Device Recall" letter dated 4/15/2016 to its Customers via Federal Express. The letter describes the product, problem and actions to be taken.The customer was instructed to promptly forward the information from the letter to recipients, if you have distributed any of the affected devices; and complete and return the Acknowledgement and Receipt Form by email to: Quality Compliance [email protected] or Fax to: (203) 492-7719. Medtronic is adding the following statement to the Bravo pH monitoring system User Manual and product package insert so that physicians are aware of the nickel content and the potential of an allergic reaction in a patient with nickel sensitivity. "The Bravo capsule contains a trocar needle that is made of stainless steel. Use caution in patients with known sensitivities or allergies to the metals that are contained including chromium, nickel, copper, cobalt and iron. The Bravo pH test lasts from 48-96 hours." If you have any questions, please contact Technical Service at 1-800-448-3644, option 3.
Quantity in commerce
1,305 units
Distribution
Worldwide Distribution: US (nationwide) and countries of: Argentina, Australia, Belgium, Brazil, Canada, Cyprus, El Salvador, Greece, Hong Kong, Israel, Mexico, Panama, Singapore, South Korea, and Thailand.
Product codes and lots
All lot numbrs

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1620-2016
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1619-2016Class IITerminatedVoluntary: Firm initiated
Z-1620-2016Class IITerminatedVoluntary: Firm initiated