MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; CRYOCUBE, UNIT, COLD THERAPY

Catalog Number	MDSCC10
Medical Device Problem Code	Insufficient Cooling (1130)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	02/29/2024
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that "not cooling." customer stated "they filled up to the ice line and cold water up to the water fill line and it still wont circulate cold water.".
Additional Manufacturer Narrative
The customer reported the product was not cooling and stated they filled up to the ice line and cold water up to the water fill line and it still wont circulate cold water.Medline requested troubleshooting, and per customer phone call, he managed to get the unit to work while waiting for a product support technician; the concern was resolved over the phone or via troubleshooting.The investigation details do not state that the reported problem was confirmed.The cause code was updated to dc:traced to user - knowledge, and no additional action(s) will be taken 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.

• Brand Name: MEDLINE
• Common Device Name: CRYOCUBE, UNIT, COLD THERAPY
• Manufacturer (Section D): Medline Industries, LP; three lakes drive; northfield IL 60093 -275
• Manufacturer Contact: jarred meyers ; three lakes drive; northfield, IL 60093--275
• MDR Report Key: 50735781
• Report Number: 1417592-2026-37189
• Device Sequence Number: 10633175
• Product Code: ILO
• UDI-Device Identifier: 10193489079425
• UDI-Public: 10193489079425
• Combination Product (Y/N): N
• Initial Reporter State: CA
• 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): 09/08/2026

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: MDSCC10
• Device Lot Number: 07623050001
• Was Device Available for Evaluation?: Yes
• 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: 02/29/2024
• Initial Report FDA Received Date: 09/11/2026
• 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