inforMED
InjuryFHA

DEROYAL

Received Feb 5, 2014 · Event occurred Jan 3, 2014

Report 2320762-2014-00004 · MDR key 3625116

Device

Generic name

Fha - Clamp, Penile

Manufacturer

G.a. Surgical

Catalog number

32-1622

Lot number

33444071

Product problems

  • Product Quality Problem

Patient

Not reported

  • Blood Loss

Narrative

Additional Manufacturer Narrative

DESCRIBE EVENT OR PROBLEM: THE HOSPITAL REPORTED EXCESS BLEEDING OCCURRED DURING USE OF THE CIRCUMCISION CLAMP. DEROYAL: THE SUPPLIER'S INVESTIGATION DETERMINED THAT LOTS WERE BUILT OUT OF SPECIFICATION, RESULTING IN THE POTENTIAL FOR THE DEVICE TO NOT CLAMP THE SURGICAL SITE PROPERLY. DEROYAL HAD MADE A ONE TIME PURCHASE FROM (B)(4) AND HAS DETERMINED TO CONDUCT A VOLUNTARY RECALL OF ALL PRODUCT PURCHASED FROM THEM. ANY PRODUCT REMAINING IN INVENTORY HAS BEEN QUARANTINED FOR DESTRUCTION, AND INITIAL RECALL LETTERS HAVE BEEN SENT TO AFFECTED CUSTOMERS.

Description of Event or Problem

THE HOSPITAL REPORTED EXCESS BLEEDING OCCURRED DURING USE OF THE CIRCUMCISION CLAMP.

Remedial action

  • Recall