FDA Adverse Event
Malfunction
Summary report: N
QC CONTROL+, 3IN X 2YD, Z-FOLD, 10X
MDR report key: 24412888
·
Received February 23, 2026
Report
- Report Number
- 3004138549-2026-00001
- Event Type
- Malfunction
- Date Received
- February 23, 2026
- Date of Event
- January 29, 2026
- Report Date
- January 30, 2026
- Manufacturer
- Z-MEDICA, LLC
- Product Code
- POD
- PMA / PMN Number
- K220971
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
(B)(4). NO SAMPLE BEING RETURNED FOR EVALUATION. IFU INSTRUCTIONS ADAQUATELY ESTABLISH THE NEED TO REMOVE THE PRODUCT PRIOR TO WOUND CLOSURE. THIS EVENT WAS THE RESULT OF THE USER NOT FOLLOWING PRODUCT IFU.
Description of Event or Problem · 0
IT WAS REPORTED THAT "I WAS INFORMED BY FACILITY THAT A Z-FOLD WAS RETAINED IN THE PATIENT BY THE PROVIDER AFTER CLOSURE."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 473176 | QC CONTROL+, 3IN X 2YD, Z-FOLD, 10X | TEMPORARY, INTERNAL USE HEMOS | POD | Z-MEDICA, LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | NOT REPORTED. |