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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDLINE INDUSTRIES, LP FITGUARD; GLOVE,EXAM,NITRILE,PF,SELECT,SM

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MEDLINE INDUSTRIES, LP FITGUARD; GLOVE,EXAM,NITRILE,PF,SELECT,SM Back to Search Results
Catalog Number TRG500S
Medical Device Problem Code Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/21/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
According to the customer, the finger on glove broke during patient care.It has been determined that the reported event could cause or contribute to serious injury if it were to occur again.In an abundance of caution, this medwatch is being filed.If any further relevant information is identified or obtained, a supplemental medwatch will be submitted.
 
Event or Problem Description
According to the customer, the finger on glove broke during patient care.
 
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Brand Name
FITGUARD
Common Device Name
GLOVE,EXAM,NITRILE,PF,SELECT,SM
Manufacturer (Section D)
MEDLINE INDUSTRIES, LP
three lakes drive
northfield IL 60093 2753
Manufacturer Contact
meghana maddilli
three lakes drive
northfield, IL 60093-2753
MDR Report Key24817948
Report Number1417592-2026-00318
Device Sequence Number9594377
Product Code LZA
UDI-Device Identifier10888277414211
UDI-Public10888277414211
Combination Product (Y/N)N
Initial Reporter StateKS
Initial Reporter CountryUS
PMA/510(K) Number
K240051
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 04/08/2026
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 NumberTRG500S
Device Lot NumberMP510990790
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/24/2026
Initial Report FDA Received Date04/08/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/01/2025
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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