FDA Adverse Event Malfunction Summary report: N

GOMCO

MDR report key: 22898985 · Received August 26, 2025

Report

Report Number
1924066-2025-00066
Event Type
Malfunction
Date Received
August 26, 2025
Date of Event
July 18, 2025
Report Date
August 20, 2025
Manufacturer
ALLIED MEDICAL LLC.
Product Code
HFX
PMA / PMN Number
PREAMENDMENT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE AFFECTED DEVICES WERE RETURNED FOR INVESTIGATION. INITIAL FINDINGS INDICATE INADEQUATE PLATING ADHESION IN CERTAIN LOTS. A CORRECTIVE AND PREVENTIVE ACTION (CAPA) HAS BEEN INITIATED TO FURTHER EVALUATE THE ROOT CAUSE AND TO IMPLEMENT CORRECTIVE ACTIONS.

Description of Event or Problem · 0

CUSTOMER IS REPORTING FINISH IS COMING OFF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1866657 GOMCO 500 CIRC CLAMP,NEWBORN, HFX ALLIED MEDICAL LLC. 02-01-0500 N/A

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown