FDA Adverse Event
Injury
Summary report: N
KONIG MOGEN CLAMP
MDR report key: 23679962
·
Received December 1, 2025
Report
- Report Number
- MW5179566
- Event Type
- Injury
- Date Received
- December 1, 2025
- Date of Event
- October 3, 2025
- Report Date
- November 21, 2025
- Manufacturer
- MEDLINE INDUSTRIES, LP - NORTHFIELD
- Product Code
- HFX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- KY, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DURING CIRCUMCISION PROCEDURE, CLAMP MALFUNCTIONED, LACERATING THE FORESKIN ALL THE WAY DOWN TO THE SCROTUM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2054026 | KONIG MOGEN CLAMP | CLAMP, CIRCUMCISION | HFX | MEDLINE INDUSTRIES, LP - NORTHFIELD | MDS 9900025K |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 1 DA | Male | Hospitalization| R |