MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; DBD-CATH IV SURESITE SLIDE 20GX1

Catalog Number	DYNSCS20100
Medical Device Problem Codes	Dull, Blunt (2407); Protective Measures Problem (3015)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	02/13/2026
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that "they are not sharp enough, and the safety feature does not always work.".
Additional Manufacturer Narrative
Customer reported that, the product in not sharp enough and the safety feature does not always work; no medical intervention, serious injury, or follow-up care has been reported.A sample was received for investigation, and the returned samples could not be investigated through internal testing due to the absence of validated test methods, established specifications, and/or appropriate equipment necessary to evaluate the component against its requirements; the manufacturer tested both the returned samples and the retained samples.The manufacturer did not find any discrepancies or defects in their production records or retained samples that could have contributed to or caused the reported issue, and did not find any issue with the needle sharpness or the safety feature.Therefore, the complaint is now unconfirmed.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: DBD-CATH IV SURESITE SLIDE 20GX1
• Manufacturer (Section D): Medline Industries, LP; three lakes drive; northfield IL 60093 -275
• Manufacturer Contact: zelek alexander ; three lakes drive; northfield, IL 60093--275
• MDR Report Key: 50934521
• Report Number: 1417592-2026-53367
• Device Sequence Number: 9498809
• Product Code: FOZ
• UDI-Device Identifier: 10888277667525
• UDI-Public: 10888277667525
• Combination Product (Y/N): N
• Initial Reporter State: OH
• Initial Reporter Country: US
• PMA/510(K) Number: K150611
• 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): 09/28/2026

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: DYNSCS20100
• Device Lot Number: 27825010001
• Was Device Available for Evaluation?: Yes
• Date Returned to Manufacturer: 02/23/2026
• 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: 02/13/2026
• Initial Report FDA Received Date: 09/29/2026
• 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 Number: 1
• Patient Sex: Unknown