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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Medline Industries, LP Medline; LIFT,PATIENT,ELECTRIC,600LB CAPACITY

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Medline Industries, LP Medline; LIFT,PATIENT,ELECTRIC,600LB CAPACITY Back to Search Results
Catalog Number MDS600ELB
Medical Device Problem Code Charging Problem (2892)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/10/2024
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that "the cord does not chanrge the lift.".
 
Additional Manufacturer Narrative
The customer is stating that "the cord does not charge the lift," and the complaint noted the product was "brand new in box" and was being used while "setting up in room." no sample/photo.Product change history was reviewed with no product changes identified.Quality control inspection records were reviewed with no records found in the inspection report.Investigation results were "not confirmed"; no sample or photo, therefore the issue cannot be confirmed.The cause was documented as "sample required to determine cause." the division will monitor through quarterly trending.This report will be reopened, reevaluated, and a formal investigation will be conducted should the sample/photo/additional information arrive.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.This 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 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
LIFT,PATIENT,ELECTRIC,600LB CAPACITY
Manufacturer (Section D)
Medline Industries, LP
three lakes drive
northfield IL 60093 -275
Manufacturer Contact
lauren glaeser
three lakes drive
northfield, IL 60093--275
MDR Report Key50854704
Report Number1417592-2026-47565
Device Sequence Number9508630
Product Code FSA
UDI-Device Identifier10193489019261
UDI-Public10193489019261
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Type of Report Initial
Report Date (Section B) 09/21/2026
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 NumberMDS600ELB
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 09/10/2024
Initial Report FDA Received Date09/22/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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