FDA Adverse Event Malfunction Summary report: N

MEDLINE-MICROTEK

MDR report key: 23680721 · Received December 1, 2025

Report

Report Number
3012811961-2025-00014
Event Type
Malfunction
Date Received
December 1, 2025
Report Date
December 1, 2025
Manufacturer
MICROTEK MEDICAL LLC
Product Code
PUI
UDI-DI
00748426140329
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

THE MANUFACTURER INVESTIGATED A REPORTED DEFECT INVOLVING HOLES IN THE PRODUCT. DEVICE HISTORY RECORDS FOR THE AFFECTED LOT WERE REVIEWED, AND NO NONCONFORMANCE WAS IDENTIFIED DURING MANUFACTURING. ALL ESTABLISHED PROCEDURES AND QUALITY CONTROLS WERE CONFIRMED AS ADEQUATE, AND THE DEFECT COULD NOT BE REPLICATED UNDER CONTROLLED CONDITIONS. DUE TO THE ABSENCE OF SAMPLES OR SUPPORTING EVIDENCE, THE ROOT CAUSE COULD NOT BE CONCLUSIVELY DETERMINED. RISK ASSESSMENT CLASSIFIED THE ISSUE AS LOW. IMMEDIATE ACTIONS INCLUDED ISSUING A QUALITY ALERT AND INITIATING TREND MONITORING FOR SIMILAR COMPLAINTS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE OR STAFF NOTICED THE SLUSH DRAPE ESD340 HAD A HOLE. NO PATIENT INJURIES, INFECTIONS, OR COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2150283 MEDLINE-MICROTEK HUSH-SLUSH¿ 2.0 SLUSH + WARMER DISC-DRAPE, FOR USE WITH THE HUSH-SLUSH¿ 2.0 PUI MICROTEK MEDICAL LLC ESD340 5374LA1600 00748426140329

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown