MAUDE Adverse Event Report: Medline Industries, LP Medline; TOWEL,OR,DSP,ST,BLUE,DLX,2/PK,40PK/CS

Catalog Number	MDT2168202
Medical Device Problem Code	Material Separation (1562)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	07/06/2026
Type of Reportable Event	Malfunction

• Brand Name: Medline
• Common Device Name: TOWEL,OR,DSP,ST,BLUE,DLX,2/PK,40PK/CS
• Manufacturer (Section D): Medline Industries, LP; three lakes drive; northfield IL 60093 -275
• Manufacturer Contact: colleen mchugh ; three lakes dr; northfield, IL 60093--275
• MDR Report Key: 50143030
• Report Number: 1417592-2026-08188
• Device Sequence Number: 21112040
• Product Code: FRL
• UDI-Device Identifier: 20080196743480
• UDI-Public: 20080196743480
• Combination Product (Y/N): N
• Initial Reporter State: CO
• Initial Reporter Country: US
• PMA/510(K) Number: N/A
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 08/05/2026

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: Health Professional
• Device Catalogue Number: MDT2168202
• Device Lot Number: 26026010020
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 07/09/2026
• Initial Report FDA Received Date: 08/05/2026
• Date Device Manufactured: 01/01/2026
• 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