| Brand Name | MEDLINE INDUSTRIES |
| Common Device Name | SPONGE,NEURO,0.5,XR,STRL,10/PK |
| Manufacturer (Section D) |
| MEDLINE INDUSTRIES |
| three lakes drive |
| north field 60093 2753 |
|
| Manufacturer Contact |
|
m
latha
|
| three lake drive |
| north field 60093
|
|
| MDR Report Key | 25510241 |
| Report Number | 1417592-2026-90082 |
| Device Sequence Number | 10520338 |
| Product Code |
HBA
|
| UDI-Device Identifier | 20080196286659 |
| UDI-Public | 20080196286659 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K140369 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial |
| Report Date (Section B) |
06/14/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | NEUROSPNG05 |
| 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 | 06/15/2026 |
| 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 |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Sex | Unknown |
|
|