MAUDE Adverse Event Report: Medline Industries, LP- NAMIC Medline; MTS,PSP,IR,KIT,GREENWICH HOSP

Catalog Number	VASC1256
Medical Device Problem Code	Protective Measures Problem (3015)
Health Effect - Clinical Code	Needle Stick/Puncture (2462)
Date of Event	08/03/2026
Type of Reportable Event	Serious Injury

• Brand Name: Medline
• Common Device Name: MTS,PSP,IR,KIT,GREENWICH HOSP
• Manufacturer (Section D): Medline Industries, LP- NAMIC; 10 glen falls technical park; glen falls NY 12801
• Manufacturer Contact: alyssa reasner ; three lakes drive; northfield, IL 60093--275
• MDR Report Key: 50457463
• Report Number: 3015910259-2026-00164
• Device Sequence Number: 21392663
• Product Code: OEZ
• UDI-Device Identifier: 10193489911053
• UDI-Public: 10193489911053
• Combination Product (Y/N): N
• Initial Reporter State: CT
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional
• Type of Report: Initial
• Report Date (Section B): 08/26/2026

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?: Yes
• Device Catalogue Number: VASC1256
• Device Lot Number: 23CBE724
• 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: 08/26/2026
• Initial Report FDA Received Date: 08/26/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 03/28/2023
• 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
• Outcome Attributed to Adverse Event: Other
• Patient Sex: Unknown