FDA Adverse Event
Malfunction
Summary report: N
AMALGATOME SD EXCISION RING BLADE 2"
MDR report key: 25152338
·
Received May 12, 2026
Report
- Report Number
- MW5188048
- Event Type
- Malfunction
- Date Received
- May 12, 2026
- Date of Event
- April 21, 2026
- Report Date
- May 7, 2026
- Manufacturer
- EXSURCO MEDICAL, INC.
- Product Code
- GFD
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PROVIDER WAS UNABLE TO TAKE SKIN USING THE 2INCH AMALGATOME BLADE, THE BLADE HAD TO BE REMOVED AND REPLACED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 236127 | AMALGATOME SD EXCISION RING BLADE 2" | DERMATOME | GFD | EXSURCO MEDICAL, INC. | 0 0810006 78008 6 | (10)X-000000000069 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 41 YR | Male | Other |