GOMCO CIRCUMCISION CLAMP 1013

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-10-01 for GOMCO CIRCUMCISION CLAMP 1013 manufactured by .

MAUDE Entry Details

Report Number9167493
MDR Report Key9167493
Date Received2019-10-01
Date of Report2019-09-26
Date of Event2019-09-23
Date Facility Aware2019-09-23
Report Date2019-09-26
Date Added to Maude2019-10-08
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 CIRCUMCISION CLAMP
Generic NameGOMCO CLAMP 1.3 CM
Product CodeHFX
Date Received2019-10-01
Model Number1013
Device Availability*
Device AgeDA
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
10 2019-10-01

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