MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; METER,GLUCOSE,EVENCARE PROVIEW,PROF.USE

Catalog Number	MPH4540
Medical Device Problem Code	Incorrect, Inadequate or Imprecise Result or Readings (1535)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	09/05/2024
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that "cust is receiving inaccurate readings on their meter for the control testing.".
Additional Manufacturer Narrative
The customer reported receiving inaccurate readings on their meter for the control testing.Medline received 1 evencare proview blood glucose meter; the sample came with batteries, a control cr2032 battery was inserted, and the sample was tested according to the instructions for use.Test strips and control solutions were not sent for review, so other test strips and control solutions were used for testing, with results of level 2: 69 and level 3: 219.The complaint was not confirmed; no indications of power or display issues were experienced, the sample turned on and displayed readings within the test settings, and the sample worked as intended.Cause was not confirmed with received sample, and based on the review of the details provided for the complaint investigation, medline was unable to confirm the complaint issue or that the product failed to meet specifications.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: MEDLINE
• Common Device Name: METER,GLUCOSE,EVENCARE PROVIEW,PROF.USE
• Manufacturer (Section D): Medline Industries, LP; three lakes drive; northfield IL 60093
• Manufacturer Contact: shivani gheewala
• MDR Report Key: 50869872
• Report Number: 1417592-2026-48961
• Device Sequence Number: 9425963
• Product Code: NBW
• UDI-Device Identifier: 10888277409163
• UDI-Public: 10888277409163
• Combination Product (Y/N): N
• Initial Reporter State: VA
• Initial Reporter Country: US
• PMA/510(K) Number: K111456
• 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): 09/23/2026

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: MPH4540
• Was Device Available for Evaluation?: Yes
• Date Returned to Manufacturer: 09/19/2024
• 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: 09/05/2024
• 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