BEUDAMED
    FDA Adverse Event Summary report: N

    MOGEN CIRCUMCISION CLAMP

    MDR report key: 219746 · Received April 9, 1999

    Report

    Report Number
    6000008-1999-00002
    Date Received
    April 9, 1999
    Date of Event
    March 11, 1999
    Report Date
    April 9, 1999
    Manufacturer
    E.G. MEDICON
    Product Code
    HFX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    MOGEN CLAMP APPLIED TO PENIS BY MD, CLAMP CLOSED FORESKIN AND CLAMP FELL OFF IN GUILLOTINE FASHION. BLEEDING NOTED TO PENIS, PRESSURE APPLIED TO CONTROL BLEEDING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MOGEN CIRCUMCISION CLAMP INSTRUMENT HFX E.G. MEDICON GL7021 R

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention