MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; WC,RECL,22",DLA,ELR, 300 LB

Catalog Number	MDS808650
Medical Device Problem Code	Material Twisted/Bent (2981)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	01/05/2026
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that ¿i now have six additional reclining wheelchairs experiencing the same frame issue we¿ve discussed previously.¿.
Additional Manufacturer Narrative
The customer stated that reclining wheelchairs were experiencing a frame issue and reported, they were received this way.Medline received one wheelchair and photo; the photo was a close up of the front left corner of a chair, but the model and serial number were not identified.The wheelchair received was used, expanded easily, the seat sits into the seat cradles or saddles without force, and the left rear wheel was bent in slightly.The customer complaint was confirmed for a bent rear wheel; however, the photo attached is not of this chair and bent seat tubing as stated was not confirmed, and the cause was recorded as cannot determine cause with received sample.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 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.

• Brand Name: MEDLINE
• Common Device Name: WC,RECL,22",DLA,ELR, 300 LB
• 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 Key: 50866778
• Report Number: 1417592-2026-48494
• Device Sequence Number: 16131116
• Product Code: IOR
• UDI-Device Identifier: 00080196303208
• UDI-Public: 00080196303208
• Combination Product (Y/N): N
• Initial Reporter State: NY
• 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): 09/22/2026

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 Number: MDS808650
• Device Lot Number: 73624070001
• Was Device Available for Evaluation?: Yes
• Date Returned to Manufacturer: 01/08/2026
• 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: 01/05/2026
• Initial Report FDA Received Date: 09/23/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• 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 Number: 1
• Patient Sex: Unknown