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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; ANEROID,HAND HELD,LRG ADULT

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Medline Industries, LP MEDLINE; ANEROID,HAND HELD,LRG ADULT Back to Search Results
Catalog Number MDS9388
Medical Device Problem Code Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/12/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that "wont inflate.".
 
Additional Manufacturer Narrative
The customer reported a concern regarding a large adult hand held aneroid not working properly and the complaint description was "wont inflate." medline received 1ea large adult hand held aneroid in used condition, performed a visual inspection of the cuff, attempted to test the cuff according to the instructions for use, and fully removed the bladder from the cuff for inspection.The complaint was confirmed; the cuff did not inflate and the bladder had a tear that would not allow the cuff to inflate.The cause was documented as "comp./part defective, broke," and the division will continue to monitor trends.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
ANEROID,HAND HELD,LRG ADULT
Manufacturer (Section D)
Medline Industries, LP
three lakes drive
northfield IL 60093
Manufacturer Contact
shivani gheewala
three lakes drive
northfield, IL 60093
MDR Report Key50856396
Report Number1417592-2026-47873
Device Sequence Number21316298
Product Code DXQ
UDI-Device Identifier10080196177813
UDI-Public10080196177813
Combination Product (Y/N)N
Initial Reporter StateMO
Initial Reporter CountryUS
PMA/510(K) Number
K211084
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Type of Report Initial
Report Date (Section B) 09/22/2026
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 NumberMDS9388
Device Lot Number65123030001
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 02/12/2026
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
Patient Sequence Number1
Patient SexUnknown
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