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.