FDA Adverse Event Malfunction Summary report: N

GOMCO

MDR report key: 22898996 · Received August 26, 2025

Report

Report Number
1924066-2025-00073
Event Type
Malfunction
Date Received
August 26, 2025
Date of Event
July 16, 2025
Report Date
August 21, 2025
Manufacturer
ALLIED MEDICAL LLC.
Product Code
HFX
PMA / PMN Number
PREAMENDMENT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, 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

THEIR STERILE PROCESSING DEPT AND INFECTION CONTROL STAFF DETERMINED THESE ARE NOT SERVICEABLE ANYMORE DUE TO GOUGES AND SCRATCHES IN THE METAL AND THEY HAVE ONLY BEEN IN USE FOR LESS THAN 7 MONTHS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1867312 GOMCO 500 CIRC CLAMP,NEWBORN, HFX ALLIED MEDICAL LLC. 02-01-0500 N/A

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown