MAUDE Adverse Event Report: Medline Industries, LP CENTURION; SUTURE REMOVAL TRAY

Catalog Number	55200H
Medical Device Problem Code	Corroded (1131)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	06/27/2023
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that 10 ea were found to be rusty in their original packaging.
Additional Manufacturer Narrative
The customer reported 10 ea were found to be rusty in their original packaging.A photo and a sample were received; the sample was evaluated, finished good production records and finished good pack build were reviewed, trending was reviewed, and a stock check was performed.The reported issue was confirmed: 6ea contained li027 with rust, and 5ea contained 598 with rust.At this time, the root cause of the issue is unidentified; no nonconformances/deviations were found and the issue appears to be isolated, and this issue will continue to be monitored by centurion's complaint system.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: CENTURION
• Common Device Name: SUTURE REMOVAL TRAY
• Manufacturer (Section D): Medline Industries, LP; 301 catrell drive; howell MI 48843
• Manufacturer Contact: urmi parekh ; 301 catrell drive; howell, MI 48843
• MDR Report Key: 50817586
• Report Number: 1824619-2026-00078
• Device Sequence Number: 10127559
• Product Code: MCZ
• UDI-Device Identifier: 10653160351702
• UDI-Public: 10653160351702
• Combination Product (Y/N): N
• Initial Reporter State: HI
• 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): 09/17/2026

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: 55200H
• Device Lot Number: 2023030801
• Was Device Available for Evaluation?: Yes
• Date Returned to Manufacturer: 07/25/2023
• 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: 06/27/2023
• Initial Report FDA Received Date: 09/18/2026
• 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
• Patient Sequence Number: 1
• Patient Sex: Unknown