FDA Adverse Event Malfunction Summary report: N

GOMCO

MDR report key: 22636796 · Received July 28, 2025

Report

Report Number
1924066-2025-00055
Event Type
Malfunction
Date Received
July 28, 2025
Date of Event
June 26, 2025
Report Date
July 23, 2025
Manufacturer
ALLIED MEDICAL LLC.
Product Code
HFX
PMA / PMN Number
PREAMENDMENT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

TO DATE, WE HAVE NOT RECEIVED ANY SUPPORTING SAMPLES OR PHOTOGRAPHIC EVIDENCE; THEREFORE, WE ARE UNABLE TO SUBSTANTIATE THE REPORTED COMPLAINTS.

Description of Event or Problem · 0

LABOR AND DELIVERY HAS FLAGGED A SERIOUS ISSUE WITH A GOMCO CLAMP, CITING THAT THE BELL EDGES ARE EXCESSIVELY SHARP AND RESULTED IN A PATIENT LACERATION DURING USE. THIS RAISES IMMEDIATE SAFETY CONCERNS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1839805 GOMCO 500S CIRC CLAMP 1.1 CM HFX ALLIED MEDICAL LLC. 02-00-0500 N/A

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown