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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDLINE INDUSTRIES, LP MEDLINE; IR PACK

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MEDLINE INDUSTRIES, LP MEDLINE; IR PACK Back to Search Results
Catalog Number DYNJ61646D
Medical Device Problem Code Contamination (1120)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/04/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
It was reported that on (b)(6) 2026, two ir packs were opened and the "red syringes were noticed to have a liquid/oil on plungers." per the customer the syringes were "removed and not used." to date, no information has been received to indicate that a user or a patient experienced a death, serious injury, medical intervention, follow-up care, or other adverse health impact associated with the reported problem/issue.In an abundance of caution, and in response to an fda 483 issued for cfn 1417592 on 22-jan-2024, this medwatch is being filed for the reported problem/issue.If additional relevant information becomes available a supplemental medwatch will be filed.
 
Event or Problem Description
It was reported that on (b)(6) 2026, two ir packs were opened and the "red syringes were noticed to have a liquid/oil on plungers." per the customer the syringes were "removed and not used.".
 
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Brand Name
MEDLINE
Common Device Name
IR PACK
Manufacturer (Section D)
MEDLINE INDUSTRIES, LP
three lakes drive
northfield IL 60093
Manufacturer Contact
jessica walter
three lakes drive
northfield, IL 60093
MDR Report Key24455666
Report Number1423395-2026-00029
Device Sequence Number13274736
Product Code OEZ
UDI-Device Identifier10198459344138
UDI-Public10198459344138
Combination Product (Y/N)N
Initial Reporter StateIL
Initial Reporter CountryUS
PMA/510(K) Number
N/A
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 02/26/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue NumberDYNJ61646D
Device Lot Number25LMB604
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/09/2026
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/04/2026
Initial Report FDA Received Date02/26/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured12/04/2025
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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