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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Medline Industries, LP Medline; TRAP,MUCUS, 10FR, DELEE, W/VALVE

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Medline Industries, LP Medline; TRAP,MUCUS, 10FR, DELEE, W/VALVE Back to Search Results
Catalog Number DYND44110
Medical Device Problem Code Material Too Soft/Flexible (4007)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/01/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the device is flimsy and not able to advance into airway to suction.
 
Additional Manufacturer Narrative
It was reported that the device is flimsy and not able to advance into airway to suction.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.
 
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Brand Name
Medline
Common Device Name
TRAP,MUCUS, 10FR, DELEE, W/VALVE
Manufacturer (Section D)
Medline Industries, LP
three lakes drive
northfield IL 60093 -275
Manufacturer Contact
moriah meyer
three lakes drive
northfield, IL 60093--275
MDR Report Key50506048
Report Number1417592-2026-09349
Device Sequence Number18694804
Product Code BYZ
UDI-Device Identifier10080196997404
UDI-Public10080196997404
Combination Product (Y/N)N
Initial Reporter StateOH
Initial Reporter CountryUS
PMA/510(K) Number
N/A
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health 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
Device Catalogue NumberDYND44110
Device Lot Number183251200001
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 08/05/2026
Initial Report FDA Received Date08/28/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/01/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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