MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; BED, FULL ELECTRIC, MEDLITE, 450 LB

Catalog Number	MDR107003L
Medical Device Problem Code	Electrical /Electronic Property Problem (1198)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	06/13/2025
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that "i¿ve got a hospital bed with a broken foot motor.The electric motor portion runs, but the shaft will not extend or retract.".
Additional Manufacturer Narrative
The customer reported a hospital bed with a broken foot motor; the electric motor portion runs, but the shaft will not extend or retract.Medline received one bed actuator only in used condition and bench-tested the actuator using verified working components; the unit functioned properly, its extension shaft fully extended and retracted as designed, the motor operated with normal sounds, and there was no visible damage to the motor casing, power cord, or plug.The investigation results were not confirmed, and the customer complaint could not be confirmed.The division will continue to monitor this issue through trending analysis.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: BED, FULL ELECTRIC, MEDLITE, 450 LB
• Manufacturer (Section D): Medline Industries, LP; three lakes drive; northfield IL 60093 -275
• Manufacturer Contact: madelyn ruppert ; three lakes drive; northfield, IL 60093--275
• MDR Report Key: 50885047
• Report Number: 1417592-2026-50128
• Device Sequence Number: 18598693
• Product Code: FNL
• UDI-Device Identifier: 40080196294344
• UDI-Public: 40080196294344
• Combination Product (Y/N): N
• Initial Reporter State: GA
• 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): 09/23/2026

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: MDR107003L
• Was Device Available for Evaluation?: Yes
• Date Returned to Manufacturer: 06/23/2025
• 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: 06/13/2025
• Initial Report FDA Received Date: 09/24/2026
• 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
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown