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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDLINE INDUSTRIES, LP MEDLINE; GLOVE,SURG, SENSICARE PI GRN,LF,PF,7.5

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MEDLINE INDUSTRIES, LP MEDLINE; GLOVE,SURG, SENSICARE PI GRN,LF,PF,7.5 Back to Search Results
Catalog Number MSG9275
Medical Device Problem Code Delivered as Unsterile Product (1421)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/24/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that when opening the glove package, a dead insect was found inside.
 
Additional Manufacturer Narrative
It was reported that when opening the glove package, a dead insect was found inside.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.
 
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Brand Name
MEDLINE
Common Device Name
GLOVE,SURG, SENSICARE PI GRN,LF,PF,7.5
Manufacturer (Section D)
MEDLINE INDUSTRIES, LP
three lakes drive
northfield IL 60093 2753
Manufacturer Contact
moriah meyer
three lakes drive
northfield, IL 60093-2753
MDR Report Key25301447
Report Number1417592-2026-01794
Device Sequence Number21162105
Product Code KGO
UDI-Device Identifier10888277417168
UDI-Public10888277417168
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K191915
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 05/27/2026
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 NumberMSG9275
Device Lot NumberMXF25090064J
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/27/2026
Initial Report FDA Received Date05/27/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/01/2025
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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