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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDLINE INDUSTRIES, LP MEDLINE; OXIMETER, PULSE, FINGERTIP, LED, W/ CASE

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MEDLINE INDUSTRIES, LP MEDLINE; OXIMETER, PULSE, FINGERTIP, LED, W/ CASE Back to Search Results
Catalog Number HCSM70J
Medical Device Problem Code Unable to Obtain Readings (1516)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/27/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Per report, "the item will turn off in the middle of the end user using the item.The account is requesting a replacement on behalf of the end user." due diligence has been completed.Despite good faith efforts to obtain additional information, the customer contact was unable or unwilling to provide further incident details to the manufacturer.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 medwatch is being filed.If any further relevant information is identified or obtained, a supplemental medwatch will be submitted.
 
Event or Problem Description
Per report, "the item will turn off in the middle of the end user using the item.The account is requesting a replacement on behalf of the end user.".
 
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Brand Name
MEDLINE
Common Device Name
OXIMETER, PULSE, FINGERTIP, LED, W/ CASE
Manufacturer (Section D)
MEDLINE INDUSTRIES, LP
three lakes drive
northfield IL 60093 2753
Manufacturer Contact
sipara semu
three lakes drive
northfield, IL 60093-2753
MDR Report Key25306127
Report Number1417592-2026-01850
Device Sequence Number9362168
Product Code OCH
UDI-Device Identifier00197344065564
UDI-Public00197344065564
Combination Product (Y/N)N
Initial Reporter StateWI
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 Other
Type of Report Initial,Followup
Report Date (Section B) 06/24/2026
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 Lay User/Patient
Device Catalogue NumberHCSM70J
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/27/2026
Supplement Date Received by Manufacturer05/27/2026
Initial Report FDA Received Date05/27/2026
Supplement Report FDA Received Date06/24/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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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