| Brand Name | FITGUARD TOUCH |
| Common Device Name | GLOVE,EXAM,NITRILE,FG TOUCH, 300, M |
| Manufacturer (Section D) |
| MEDLINE INDUSTRIES, LP |
| three lakes drive |
| northfield IL 60093 2753 |
|
| Manufacturer Contact |
|
meghana
maddilli
|
| three lakes drive |
| northfield, IL 60093-2753
|
|
| MDR Report Key | 25821475 |
| Report Number | 1417592-2026-05717 |
| Device Sequence Number | 10462438 |
| Product Code |
LZA
|
| UDI-Device Identifier | 10888277362741 |
| UDI-Public | 10888277362741 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CA |
| PMA/510(K) Number | K170136 |
| Number of Events Summarized | 1 |
| 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 |
| Report Date (Section B) |
07/14/2026 |
| 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 Number | FG3002 |
| Device Lot Number | Z1M408107457 |
| Was Device Available for Evaluation? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/17/2026 |
| Initial Report FDA Received Date | 07/14/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 08/01/2024 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|