MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; PACEMAKER DRP 75X135IN W-2 ABS PCHS

Catalog Number	PD107
Medical Device Problem Code	Adhesive Too Strong (4071)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	04/18/2025
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that "when unwrapping drape, the adhesion is stuck on the part that normally sticks to the patient.How the drape is being folded, is causing the adhesive sticker to be folded under the sterile section, causing defects.".
Additional Manufacturer Narrative
It was reported that ¿when unwrapping drape, the adhesion is stuck on the part that normally sticks to the patient.¿ 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.This medical device report (mdr) is being submitted as part of retrospective review activities, which include review of historical data in accordance with regulations at 21 cfr part 803.The information included in this mdr reflects the information reasonably known to the manufacturer at the time of this retrospective review and submission.

• Brand Name: MEDLINE
• Common Device Name: PACEMAKER DRP 75X135IN W-2 ABS PCHS
• Manufacturer (Section D): Medline Industries, LP; three lakes drive; northfield IL 60093 -275
• Manufacturer Contact: durga duduku ; three lakes drive; northfield, IL 60093--275
• MDR Report Key: 50591843
• Report Number: 1417592-2026-31786
• Device Sequence Number: 18658923
• Product Code: PUI
• UDI-Device Identifier: 10197344160587
• UDI-Public: 10197344160587
• Combination Product (Y/N): N
• Initial Reporter State: TX
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Company Representative
• Type of Report: Initial
• Report Date (Section B): 09/03/2026

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: PD107
• Device Lot Number: 6474LR7000
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Was the Report Sent to FDA?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 09/03/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• 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
• Patient Sequence Number: 1
• Patient Sex: Unknown