• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; BAG,DRAINAGE,UROLOGY,2000ML,ANTI REFLUX

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

Medline Industries, LP MEDLINE; BAG,DRAINAGE,UROLOGY,2000ML,ANTI REFLUX Back to Search Results
Catalog Number DYNC1674H
Medical Device Problem Codes Crack (1135); Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/23/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that "per the nurse, the bag does not last a month and their patient is having to change the bags every week due to cracking/ripping in the bag.Nurse advised the bag tears specifically where the bag drains.".
 
Additional Manufacturer Narrative
The nurse called in to report a quality complaint for urinary drainage bags; the bag does not last a month and the patient is having to change the bags every week due to cracking/ripping in the bag, and the nurse advised the bag tears specifically where the bag drains.Medline quality did not receive a sample nor photographs of the reported product, and a post-market retrospective review of the past 24 months preceding the reported issue revealed (b)(4)additional complaints of leaking.The issue is unconfirmed, as no samples nor photographs were made available to review, and a root cause cannot be identified at this time.If a product is received or more information is made available, the complaint will be reopened and an investigation will be performed; medline quality will continue to monitor for the issue through monthly complaint meetings and quarterly 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.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
MEDLINE
Common Device Name
BAG,DRAINAGE,UROLOGY,2000ML,ANTI REFLUX
Manufacturer (Section D)
Medline Industries, LP
three lakes drive
northfield IL 60093 -275
Manufacturer Contact
azmat shah
three lakes drive
northfield, IL 60093--275
MDR Report Key50899115
Report Number1417592-2026-51110
Device Sequence Number18830957
Product Code KNX
UDI-Device Identifier10080196840922
UDI-Public10080196840922
Combination Product (Y/N)N
Initial Reporter StateWI
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) 09/24/2026
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 NumberDYNC1674H
Was Device Available for Evaluation? No
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 02/23/2026
Initial Report FDA Received Date09/25/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
-
-