Reported Reactions

Devices › Implant, intragastric for morbid obesity

Device brand name · Intragastric balloon system

ORBERA365 Intragastric Balloon System: medical device reports filed with FDA

350 reports name it, 2019–2026. Manufacturer given most often on reports: Apollo Endosurgery. Product code LTI.

350
device reports naming the brand
0% of all MAUDE reports · about 48 a year
29
reports, 12 months to August 2026
34 in the 12 months before
77.4%
classified as malfunction
60.3% across the product code
0.3%
classified as death, as reported
1 reports · not verified by FDA

350 medical device reports received by FDA name the brand "ORBERA365 Intragastric Balloon System" (intragastric balloon system); the manufacturer given most often on reports is Apollo Endosurgery; received from April 2019 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

29 reports arrived in the 12 months to August 2026, down 15% from 34 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are malfunction (77.4%), injury (22.3%) and death (0.3%); across all implant, intragastric for morbid obesity reports (product code LTI) death is recorded in 1.1% and malfunction in 60.3%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are deflation problem (49.7%), fluid/blood leak (40.3%) and unintended deflation (30%). The patient problems coded most often are failure of implant, vomiting and abdominal pain. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

01121Sep 2021: 5Oct 2021: 9Nov 2021: 6Dec 2021: 32022Jan 2022: 13Feb 2022: 1Mar 2022: 6Apr 2022: 1May 2022: 3Jun 2022: 9Jul 2022: 6Aug 2022: 6Sep 2022: 3Oct 2022: 8Nov 2022: 0Dec 2022: 212023Jan 2023: 5Feb 2023: 16Mar 2023: 4Apr 2023: 3May 2023: 1Jun 2023: 7Jul 2023: 0Aug 2023: 6Sep 2023: 1Oct 2023: 3Nov 2023: 1Dec 2023: 52024Jan 2024: 13Feb 2024: 6Mar 2024: 6Apr 2024: 9May 2024: 3Jun 2024: 4Jul 2024: 0Aug 2024: 6Sep 2024: 2Oct 2024: 5Nov 2024: 3Dec 2024: 42025Jan 2025: 2Feb 2025: 3Mar 2025: 8Apr 2025: 3May 2025: 1Jun 2025: 0Jul 2025: 2Aug 2025: 1Sep 2025: 3Oct 2025: 2Nov 2025: 2Dec 2025: 32026Jan 2026: 1Feb 2026: 5Mar 2026: 2Apr 2026: 2May 2026: 2Jun 2026: 1Jul 2026: 4Aug 2026: 2

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

039772019: 4220192020: 2020202021: 4920212022: 7720222023: 5220232024: 6120242025: 3020252026: 192026

Event type and report source

Event type, as classified on the report

Death0.3%1
Injury22.3%78
Malfunction77.4%271
Other0%0
Not given0%0

Who filed the report

Manufacturer report100%350
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0%0

Grey bar: all 17,678 reports carrying product code LTI. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Deflation problem17449.7%5.3%
Fluid/blood leak14140.3%19.1%
Unintended deflation10530%1.2%
Migrationthe device moved from where it was placed3610.3%0.6%
Inflation problem339.4%1.6%
Patient-device incompatibilitythe device did not suit the patient123.4%2.4%
Leak/splashthe device leaked92.6%23.6%
Migration or expulsion of device92.6%3%
Detachment of device or device componentpart of the device came off61.7%0.4%
Burst container or vessel51.4%0%
Difficult to removethe device was hard to remove51.4%0.3%
Insufficient device problem information51.4%5.9%
Material split, cut or torn51.4%0.1%
Material separation41.1%0.4%
Mechanical problema mechanical problem30.9%0.1%
Contamination20.6%0%
Deformation due to compressive stress20.6%0.1%
Failure to advance20.6%0%
Failure to deflate20.6%0%
Increase in pressure20.6%0%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Failure of implant16547.1%
Vomitingbeing sick6919.7%
Abdominal painstomach or belly pain3911.1%
Nauseafeeling sick205.7%
Obstruction/occlusion205.7%
Painpain, site not specified154.3%
Discomfortdiscomfort113.1%
Dehydrationdehydration92.6%
Perforation72%
Appropriate clinical signs, symptoms and conditions term/code not available61.7%
Heartburn/indigestion51.4%
Hemorrhage/blood loss/bleeding41.1%
Airway obstruction30.9%
Inflammationinflammation30.9%
Internal organ perforation30.9%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureORBERA365 Intragastric Balloon SystemProduct code LTIAll MAUDE reports
Reports35017,67826,136,888
Share of that pool—2%0%
Classified as death, per 1,000 reports3119
Classified as injury22.3%38.1%36.2%
Classified as malfunction77.4%60.3%62.3%
Filed by the manufacturer100%96.2%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code LTI

BrandReportsLatest 12 monthsClassified as death
Lap-Band Adjustable Gastric Banding System2,19902%
Lap-Band Adjustable Gastric Banding System Unk Size1,78102%
Lap-Band Adjustable Gastric Banding System 9 75cm1,51300.1%
Lap-Band System1,35702%
Lap-Band Adjustable Gastric Banding System 10 0cm1,18700.4%
Spatz3 Adjustable Balloon System9061250.6%
Orbera Intragastric Balloon System828102.5%
Lap-Band Ap Adjustable Gastric Banding System Standard80100.4%
Realize Adj Gastric Band Str52700.2%
Realize Adj Gastric Band-C52400%
Lap-Band Adjustable Gastric Banding System Vg49300.8%
Lap-Band Ap Adjustable Gastric Banding System Small44801.1%
Lap-Band Ap Adjustable Gastric Banding System Large43701.1%
Sagb Quickclose With Velocity Injection Port24500%
Gen2 Adjustable Gastric Band - 11 Cm Unlocka19600.5%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about ORBERA365 Intragastric Balloon System reports

How many FDA reports name ORBERA365 Intragastric Balloon System?

350 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 29 in the latest 12 months.

What kinds of events are reported?

malfunction (77.4%), injury (22.3%) and death (0.3%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

deflation problem (49.7%), fluid/blood leak (40.3%), unintended deflation (30%), migration (10.3%) and inflation problem (9.4%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (100%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that ORBERA365 Intragastric Balloon System was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.