MAUDE Adverse Event Report: MEDLINE INDUSTRIES, LP MEDLINE; TRAY,FOL,NON-STER,TRAIN,14FR,SIL

Catalog Number	DYND11NS14S
Medical Device Problem Codes	Material Rupture (1546); Connection Problem (2900)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	02/24/2026
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
According to the customer contact, "prefilled syringes were breaking off in the catheter port immediately and becoming lodged and rendering the catheter useless." the customer contact reported, "the inflation balloon was rupturing even when a fraction of the fluid was injected." no additional details are available related to the customer reported issue.Despite multiple good faith efforts to obtain additional information, the customer contact was unable or unwilling to provide further incident details to the manufacturer.The sample was requested for evaluation.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
According to the customer contact, "prefilled syringes were breaking off in the catheter port immediately and becoming lodged and rendering the catheter useless." the customer contact reported, "the inflation balloon was rupturing even when a fraction of the fluid was injected.".

• Brand Name: MEDLINE
• Common Device Name: TRAY,FOL,NON-STER,TRAIN,14FR,SIL
• Manufacturer (Section D): MEDLINE INDUSTRIES, LP; three lakes drive; northfield IL 60093
• Manufacturer Contact: alexa huskisson ; three lakes drive; northfield, IL 60093
• MDR Report Key: 24662213
• Report Number: 1417592-2026-00240
• Device Sequence Number: 17422725
• Product Code: OHR
• UDI-Device Identifier: 10888277085794
• UDI-Public: 10888277085794
• Combination Product (Y/N): N
• Initial Reporter State: MO
• Initial Reporter Country: US
• Number of Events Summarized: 1
• 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): 03/23/2026

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
• Device Catalogue Number: DYND11NS14S
• Device Lot Number: 25FBQ392
• Was Device Available for Evaluation?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 02/24/2026
• Initial Report FDA Received Date: 03/23/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 06/24/2025
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Patient Sex: Unknown