BEUDAMED
    FDA Adverse Event Summary report: N

    MOGEN CIRCUMCISION CLAMP

    MDR report key: 220959 · Received April 27, 1999

    Report

    Report Number
    6000008-1999-00004
    Date Received
    April 27, 1999
    Report Date
    April 27, 1999
    Manufacturer
    E.G. MEDICON
    Product Code
    HFX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    4/27/1999-PER DR., THE CIRCUMCISION CLAMP, NOT ONLY CRUSHES THE SKIN BUT IT AMPUTATES THE SKIN AT THE SAME TIME. THE CHILD DID NOT REQUIRE ANY ADDITIONAL INTERVENTION AS A RESULT OF THE EVENT.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other