MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; THERMOMETER, LARGE DISPLAY, F/C

Catalog Number	MDS9953
Medical Device Problem Codes	Electrical /Electronic Property Problem (1198); Unable to Obtain Readings (1516); Material Integrity Problem (2978)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	09/12/2024
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that reads the letters lo and f and it flashes and doesnt work.
Additional Manufacturer Narrative
The reported concern was that the large display thermometer was not working properly; the complaint transcript states, "reads the letters lo and f and it flashes and doesnt work." at this time, a sample was not received for investigation; investigation included review of the lot/serial number and recent complaint trends/scar activity for the past 12 months, and the vendor performed internal investigation including dhr review and inspection records review.The complaint was not confirmed, and per vendor no abnormalities were found.Without the sample to evaluate, medline was unable to confirm the complaint or identify a potential root cause for the reported issue, and the division will continue to monitor trends.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: THERMOMETER, LARGE DISPLAY, F/C
• Manufacturer (Section D): Medline Industries, LP; three lakes drive; northfield IL 60093 -275
• Manufacturer Contact: aaron ginsburg ; three lakes drive; northfield, IL 60093--275
• MDR Report Key: 50915216
• Report Number: 1417592-2026-51973
• Device Sequence Number: 20277905
• Product Code: FLL
• UDI-Device Identifier: 10888277701489
• UDI-Public: 10888277701489
• Combination Product (Y/N): N
• Initial Reporter State: SC
• Initial Reporter Country: US
• PMA/510(K) Number: K193621
• 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): 09/25/2026

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: MDS9953
• Device Lot Number: 200830008
• Was Device Available for Evaluation?: Yes
• 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: 09/12/2024
• Initial Report FDA Received Date: 09/28/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• 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