MAUDE Adverse Event Report: Medline Industries, LP MEDLINE; TRANS CHAIR,ALUM,8" WHL,19" 300 LB, BLUE

Catalog Number	MDS808200ABE
Medical Device Problem Code	Mechanical Jam (2983)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	02/27/2026
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that "the left rear wheel break of the transport chair is stuck".
Additional Manufacturer Narrative
The customer reported that the left rear wheel break of the transport chair is stuck.Medline received one transport chair in used condition and performed a functional/visual inspection; the frame, wheels, legrests, armrests, folding backrest and seat upholstery were intact, the right hand brake functions as expected, and the left hand brake is pushed past the point that it can be unlocked.The investigation results were confirmed: the brackets and bolt nuts have passed each other and they now cannot be pulled back.The investigation documented that no trends were identified for the specified material number and corresponding defect type, and inspection records did not identify any nonconformances that correspond to the defect reported in this complaint.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: TRANS CHAIR,ALUM,8" WHL,19" 300 LB, BLUE
• Manufacturer (Section D): Medline Industries, LP; three lakes drive; northfield IL 60093 -275
• Manufacturer Contact: vamshi pinnamshetty ; three lakes drive; northfield, IL 60093--275
• MDR Report Key: 50946507
• Report Number: 1417592-2026-54277
• Device Sequence Number: 21445512
• Product Code: INM
• UDI-Device Identifier: 00884389150835
• UDI-Public: 00884389150835
• Combination Product (Y/N): N
• Initial Reporter State: CA
• 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): 09/29/2026

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: MDS808200ABE
• Was Device Available for Evaluation?: Yes
• Date Returned to Manufacturer: 05/01/2026
• 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: 02/27/2026
• Initial Report FDA Received Date: 09/30/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 09/01/2024
• 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