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Documentary record · DEVICE EARLY ALERT

FDA Early Alert: Bravo CF esophageal pH-monitoring capsule delivery devices may fail to attach or detach

EARLY ALERT — REMOVAL RECOMMENDED BY MANUFACTURER

Event date

August 27, 2026

Jurisdiction

United States

Issuing body

U.S. Food and Drug Administration

Action type

DEVICE EARLY ALERT

Lifecycle state

EARLY ALERT — REMOVAL RECOMMENDED BY MANUFACTURER

Verification date

15 September 2026

An FDA Early Alert publicising a manufacturer’s removal recommendation. It is not a final recall classification and creates no new legal duty for clinicians; it tells users which lots to quarantine and return.

What this establishes

  • Medtronic and its subsidiary Given Imaging told affected customers on 6 August 2026 to quarantine and return certain Bravo CF capsule delivery devices.
  • The capsule may fail to attach to the esophagus or to detach from the delivery device. FDA lists risks including aspiration, esophageal perforation or laceration, airway obstruction, bleeding, delayed diagnosis and retained foreign body.
  • As of 10 August 2026 the manufacturer had reported 184 serious injuries and no deaths. Affected lots carry expiration dates on or before 20 October 2027; lots expiring 10 December 2027 or later are out of scope.
  • A subset of lots was in a June 2025 recall; the failure is the same but the underlying cause is different.

What this does not establish

  • A final FDA recall classification for this action.
  • That pH monitoring with a correctly functioning device is unsafe.
  • Any finding about an individual patient’s procedure.

Why it matters

Wireless pH monitoring is an outpatient diagnostic step in reflux evaluation. The alert is a reminder that device-surveillance information reaches clinicians in stages — customer letter, Early Alert, classification — and each stage means something different.

Primary source

Register: the record store · record id fda-bravo-cf-early-alert-2026-08-27.

Documentary record · verification date 15 September 2026 · this revision pending review by Kanwar Partap Singh Gill, MD.