| Brand Name | MEDLINE |
| Common Device Name | LIFT,PATIENT,ELECTRIC,600LB CAPACITY |
| 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 Key | 50779985 |
| Report Number | 1417592-2026-41670 |
| Device Sequence Number | 10754856 |
| Product Code |
FSA
|
| UDI-Device Identifier | 10193489019261 |
| UDI-Public | 10193489019261 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NY |
| Initial Reporter Country | US |
| Exemption Number | VMSR |
| Number of Events Summarized | 2 |
| Summary Report (Y/N) | Y |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Type of Report
| Initial |
| Report Date (Section B) |
09/14/2026 |
| 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 | MDS600ELB |
| 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 | 04/04/2025 |
| Initial Report FDA Received Date | 09/15/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Is the Device Labeled for Single Use? (Y/N) |
No
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|