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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; TOWEL,OR,DSP,ST,BLUE,STD,4/PK,20PK/CS

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Medline Industries, LP MEDLINE; TOWEL,OR,DSP,ST,BLUE,STD,4/PK,20PK/CS Back to Search Results
Catalog Number MDT2168284
Medical Device Problem Code Contamination (1120)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/31/2023
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that "upon opening the product had loose lint on the towels.These are supposed to be lintless so they could not be used.".
 
Additional Manufacturer Narrative
The reported issue was that upon opening the product had loose lint on the towels, and these are supposed to be lintless so they could not be used.A sample of the product was received from the customer in an open condition, and 6 months of complaint history for this item was evaluated with no similar complaints reported for this issue of foreign particulates.From the sample received, the issue reported was confirmed; however, it could not be established that the root cause was directly related to the manufacture of the product.At this time, this is not a trending issue, and the divisional quality representative will continue to monitor this issue for tracking and trending purposes during quarterly trending.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
TOWEL,OR,DSP,ST,BLUE,STD,4/PK,20PK/CS
Manufacturer (Section D)
Medline Industries, LP
three lakes drive
northfield IL 60093 -275
Manufacturer Contact
pranay abbu
three lakes drive
northfield, IL 60093--275
MDR Report Key50867296
Report Number1417592-2026-48570
Device Sequence Number13067338
Product Code FRL
UDI-Device Identifier40080196282730
UDI-Public40080196282730
Combination Product (Y/N)N
Initial Reporter StateIL
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) 09/22/2026
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 NumberMDT2168284
Device Lot Number6052203071
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer06/02/2023
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 05/31/2023
Initial Report FDA Received Date09/23/2026
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 Number1
Patient SexUnknown
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