FDA Adverse Event
Malfunction
Summary report: N
GOMCO
MDR report key: 22746175
·
Received August 7, 2025
Report
- Report Number
- 1924066-2025-00063
- Event Type
- Malfunction
- Date Received
- August 7, 2025
- Date of Event
- July 8, 2025
- Report Date
- August 7, 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
CUSTOMER HAVING ISSUES WITH BOTH 02-01-0500 AND 02-00-0500 BEING TO SHARP AND ADDING EXCESSIVE BLEEDING REQUIRING STITCH TO NEWBORN CIRCUMCISIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 220711 | 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 |