MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; SYSTEM,ALTERNATING PRESSURE PAD

Catalog Number	MSCAIRONE
Medical Device Problem Code	Inflation Problem (1310)
Health Effect - Clinical Code	Insufficient Information (4580)
Date of Event	10/13/2023
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that the mattress airs up slowly but the alternating pressure doesnt work.
Additional Manufacturer Narrative
The customer reported the mattress airs up slowly but the alternating pressure doesnt work; the customer¿s daughter later called in that the customer was sent back to the hospital and the pressure pad is no longer needed.The sample was sent in for evaluation, and the mattress fully inflated and stayed inflated with no air leaks or any noted issues.Medline was not able to confirm any quality issues with the mattress sent in, and the cause was not confirmed with received sample.The complaint was documented as an isolated issue and medline will monitor with complaint trending reports.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: SYSTEM,ALTERNATING PRESSURE PAD
• Manufacturer (Section D): Medline Industries, LP; three lakes drive; northfield IL 60093 -275
• Manufacturer Contact: zelek alexander ; three lakes drive; northfield, IL 60093--275
• MDR Report Key: 50718995
• Report Number: 1417592-2026-36301
• Device Sequence Number: 10056522
• Product Code: FNM
• UDI-Device Identifier: 10080196403899
• UDI-Public: 10080196403899
• Combination Product (Y/N): N
• Initial Reporter State: NY
• 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): 09/07/2026

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: MSCAIRONE
• Device Lot Number: 02623010214
• Was Device Available for Evaluation?: Yes
• Date Returned to Manufacturer: 10/20/2023
• 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: 10/13/2023
• Initial Report FDA Received Date: 09/10/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Patient Sex: Unknown