• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PRODUCTOS MEDLINE S.A. DE C.V. MEDLINE; KIT,IV START

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

PRODUCTOS MEDLINE S.A. DE C.V. MEDLINE; KIT,IV START Back to Search Results
Catalog Number DYND74285
Medical Device Problem Code Difficult or Delayed Positioning (1157)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/01/2026
Type of Reportable Event Malfunction
Event or Problem Description
The paper will not peel off the tegaderm dressing and the dressing peels up from the patient's skin, leading to a iv open to air creating an infection control concern.
 
Additional Manufacturer Narrative
It was reported that the paper will not peel off the tegaderm dressing and the dressing peels up from the patient's skin, leading to a iv open to air creating an infection control concern.Did not work as intended, reported malfunction in mw.There were no reports of death, serious injury, medical intervention, or follow up 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 is a reportable event.If additional information becomes available this report will be reopened and reevaluated.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
MEDLINE
Common Device Name
KIT,IV START
Manufacturer (Section D)
PRODUCTOS MEDLINE S.A. DE C.V.
blvd world trade center 106
nuevo laredo, 88285
MX  88285
Manufacturer Contact
lauren glaeser
three lakes drive
northfield, IL 60093-2753
MDR Report Key25260910
Report Number1417592-2026-01695
Device Sequence Number18775534
Product Code LRS
UDI-Device Identifier10884389529188
UDI-Public10884389529188
Combination Product (Y/N)N
Initial Reporter StateRI
Initial Reporter CountryUS
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 Risk Manager
Type of Report Initial
Report Date (Section B) 05/22/2026
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 NumberDYND74285
Device Lot Number25LBO407
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/23/2026
Initial Report FDA Received Date05/22/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/18/2025
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
-
-