FDA Adverse Event Injury Summary report: N

QC CONTROL+, 3IN X 2YD, Z-FOLD, 10X

MDR report key: 24495365 · Received March 3, 2026

Report

Report Number
3004138549-2026-00002
Event Type
Injury
Date Received
March 3, 2026
Date of Event
January 27, 2026
Report Date
February 4, 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

QN#(B)(4). IFU WARNINGS SECTION CLEARLY STATES: PRODUCT IS NOT ABSORBABLE AND MUST BE REMOVED FROM WOUND PRIOR TO WOUND CLOSURE. A TWO-YEAR LOOKBACK FOUND LIKE COMPLAINTS IN ADDITION TO THE ONE NOTED ABOVE. ALL WERE ATTRIBUTABLE TO USER ERROR (NOT FOLLOWING IFU) , NO FAILURES OF PRODUCT PERFORMANCE OR PRODUCT LABELING WERE FOUND. CONTRAINDICATIONS SECTION CLEARLY STATES: DO NOT LEAVE QUIKCLOT CONTROL+ IN PLACE FOR MORE THAN 48 HOURS. IFU INSTRUCTIONS ADEQUATELY 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: "THERE WAS A PATIENT IDENTIFIED WITH CONTROL+ LEFT INSIDE A PATIENT AND THEY WAS BROUGHT BACK TO THE OPERATING ROOM YESTERDAY FOR REMOVAL."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
303510 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