inforMED
InjuryHFX

MOGEN CLAMP CIRCUMCISION CLAMP

Received Jun 19, 2020 · Event occurred May 22, 2020

Report MW5095141 · MDR key 10179996

Device

Generic name

Clamp, Circumcision

Manufacturer

Elmed Inc.

Catalog number

2155 OR 3155

Lot number

E0220

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

1 DA

  • Laceration(s)
  • Injury
  • Laceration(s)
  • Injury

Narrative

Description of Event or Problem

PHYSICIAN PERFORMED CIRCUMCISION USING MOGEN CLAMP. WHEN HE RELEASED THE CLAMP, HE HAD AMPUTATED THE HEAD OF GLANS PENIS WITH URETHRA. FDA SAFETY REPORT ID #: (B)(4).