GOMCO DEVICE FOR CIRCUMCISION 1.1 CLAMP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-10-18 for GOMCO DEVICE FOR CIRCUMCISION 1.1 CLAMP manufactured by .

Event Text Entries

[124555379] Physician was doing a circumcision using the gomco device with a 1. 1 clamp. As the procedure was completed they noted bleeding from the side of the baby's penis. Pressure was applied, followed by silver nitrate and eventually stitches were required to stop the bleeding. Upon close inspection of the gomco device, it was noted that the "bell" had a sharp edge. We don't have a method to track how old the device might have been or how many times it has been used and reprocessed. As a result, two gomco devices with 1. 1 clamps were taken out of service to avoid this from happening again.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7981789
MDR Report Key7981789
Date Received2018-10-18
Date of Report2018-10-02
Date of Event2018-07-25
Report Date2018-10-02
Date Reported to FDA2018-10-02
Date Reported to Mfgr2018-10-18
Date Added to Maude2018-10-18
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameGOMCO DEVICE FOR CIRCUMCISION 1.1 CLAMP
Generic NameCLAMP, CIRCUMCISION
Product CodeHFX
Date Received2018-10-18
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-10-18

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