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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; GLOVE,SURG,SENSICR PI ORTHO LT,LF,PF,7.0

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Medline Industries, LP MEDLINE; GLOVE,SURG,SENSICR PI ORTHO LT,LF,PF,7.0 Back to Search Results
Catalog Number MSG9970
Medical Device Problem Code Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/16/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that "over the past few months, we have noticed that they are tearing when being put on but in strange locations ¿ like as if the gloves had a seam".
 
Additional Manufacturer Narrative
A complaint was received related to "tearing when donning - but in strange locations, as if gloves had a seam" for the sensicare pi ortho surgical glove; there was no reported death or serious injury associated with this event.2 bx were returned, and when donning the gloves, tearing could not be confirmed/replicated, even as the gloves were elongated to elbow length; trending over the last 2 years did not indicate that there is a trend of "tearing during donning" or similar occurring in the field, and the vendor's review of batch records and retention samples observed no abnormalities or deviations.Complaint was unable to be confirmed via the returned sample.The updated cause code was adjusted to unconfirmed defect with not confirmed with received sample, and a review of the complaint information as well as the results of the investigation indicate no need for further action at this time.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.
 
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Brand Name
MEDLINE
Common Device Name
GLOVE,SURG,SENSICR PI ORTHO LT,LF,PF,7.0
Manufacturer (Section D)
Medline Industries, LP
three lakes drive
northfield IL 60093 -275
Manufacturer Contact
nitish sandadi
three lakes drive
northfield, IL 60093--275
MDR Report Key50719126
Report Number1417592-2026-36307
Device Sequence Number18656210
Product Code KGO
UDI-Device Identifier10193489029857
UDI-Public10193489029857
Combination Product (Y/N)N
Initial Reporter StateAZ
Initial Reporter CountryUS
PMA/510(K) Number
K142941
Number of Events Summarized1
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 NumberMSG9970
Device Lot Number2109969270
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer08/04/2025
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 07/16/2025
Initial Report FDA Received Date09/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
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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