MAUDE Adverse Event Report: MEDLINE INDUSTRIES, LP MEDLINE; OXIMETER,PULSE,FINGERTIP

Catalog Number	HCSM70R
Medical Device Problem Code	Poor Visibility (4072)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	05/11/2026
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that: "the pulse oximeter does not work.The light from the screen turns on for a little bit but then turns off.".
Additional Manufacturer Narrative
"the pulse oximeter does not work.The light from the screen turns on for a little bit but then turns off." 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.

• Brand Name: MEDLINE
• Common Device Name: OXIMETER,PULSE,FINGERTIP
• Manufacturer (Section D): MEDLINE INDUSTRIES, LP; 3 lakes drive; northfield IL 60093 2753
• Manufacturer Contact: leann gifford ; three lakes drive; northfield, IL 60093-2753
• MDR Report Key: 25374708
• Report Number: 1417592-2026-01981
• Device Sequence Number: 10568120
• Product Code: OCH
• UDI-Device Identifier: 00193489006882
• UDI-Public: 00193489006882
• Combination Product (Y/N): Y
• Initial Reporter State: AZ
• Initial Reporter Country: US
• PMA/510(K) Number: N/A
• 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): 06/03/2026

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?: No
• Device Catalogue Number: HCSM70R
• Was Device Available for Evaluation?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 06/03/2026
• 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
• Patient Sequence Number: 1
• Patient Sex: Unknown