Reflux testing systems

Bravo™ calibration-free reflux testing system

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Reflux testing systems

Bravo™ calibration-free reflux testing system

The Bravo™ calibration-free reflux testing system is a capsule-based testing system used to determine if acid reflux is causing the patient's symptoms.

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Indications, Safety, and Warnings

Description

Measure and monitor gastroesophageal pH with Bravo™ 

The Bravo™ calibration-free reflux testing system provides information to help establish the GERD diagnosis.1

  • Up to 70% of patients with GERD do not have evidence of erosive changes on endoscopy.2
  • The system provides greater sensitivity than endoscopy and higher specificity than therapeutic trials with Proton-pump inhibitors (PPIs).1
  • Patients maintain regular diet and activities during the procedure, so testing is done under normal physiologic conditions.3
  • Tolerance and satisfaction with catheter-free pH monitoring are high in patients who had previously failed catheter-based pH; catheter-free pH monitoring assists in the definitive diagnosis of GERD in this group.4

 

Features

1 in 3 patients referred with ongoing symptoms while using PPIs doesn't have gerd.5

There are many recent advances in the diagnosis and management of GERD. Prolonged wireless pH monitoring has value on clinical reflux monitoring to enable the assessment of predominant exposure patterns and aid in the diagnosis of GERD.1

 

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Among patients with heartburn, endoscopy with ambulatory reflux monitoring (off PPI) optimizes cost-effective management.6

The most cost-effective diagnostic approach to managing patients with typical GERD symptoms of heartburn that lack alarm symptoms and fail an empiric PPI is to offer endoscopy with ambulatory reflux monitoring followed by a trial of PPI discontinuation for patients without erosive findings.6

See the current GERD diagnosis and management guidelines from the American College of Gastroenterology and the American Gastroenterology Association.

Bravo™ calibration-free is the capsule-based pH reflux testing system that can be used to determine if acid reflux is causing the patient's symptoms.

Ordering information

Item number Description Units per box
FGS-0635 Bravo™ calibration-free reflux capsule with delivery system 5
FGS-0634 Bravo™ reflux recorder (includes carry case, charger, carry strap, USB cable, document mini CD) 1
FGS-0656 Reflux software v6.1 kit 1

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  1. Hirano I, Zhang Q, Pandolfino JE, Kahrilas PJ. Four-day Bravo™ reflux testing system pH capsule monitoring with and without proton pump inhibitor therapy. Clin Gastroenterol and Hepatol. 2005;3(11):1083–1088.
  2. Vaezi M, Zehrai A, and Yuksel E. Testing for refractory gastroesophageal reflux disease. American Society for Gastrointestinal Endoscopy ASGE Leading Edge. 2012;2(2):1–13.
  3. Tseng D, Rizvi AZ, Fennerty MB, et al. Forty-eight hour pH monitoring increases sensitivity in detecting abnormal esophageal acid exposure. J Gastro Surgery. 2005;9(8):1043–1052.
  4. Sweiss R, Fox M, Anggiansah R, et al. Patient acceptance and clinical impact of Bravo™ monitoring in patients with previous failed catheter-based studies. Aliment Pharmacology and Therapeutics. 2009;29(6):669–676.

  1. Herregods TV, Troelstra M, Weijenborg PW, Bredenoord AJ, Smout AJ. Patients with refractory reflux symptoms often do not have GERD. Neurogastroenterol Motil. 2015;27(9):1267–1273.
  2. See the current GERD diagnosis and management guidelines from the American College of Gastroenterology and the American Gastroenterology Association.

This product is licenced with Health Canada as BRAVO - CAPSULE DELIVERY SYS on Health Canada licence number 110272.