FDA Adverse Event
Malfunction
Summary report: N
MEDLINE-MICROTEK
MDR report key: 24404627
·
Received February 20, 2026
Report
- Report Number
- 8043817-2026-00001
- Event Type
- Malfunction
- Date Received
- February 20, 2026
- Date of Event
- January 22, 2026
- Report Date
- February 20, 2026
- Manufacturer
- MICROTEK MEDICAL LLC
- Product Code
- PUI
- UDI-DI
- 00748426261611
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THIS PRODUCT IS SUPPLIED BY MEDLINE/MICROTEK AS NON-STERILE FOR INCLUSION IN PROCEDURE KITS. STERILIZATION AND FINAL KIT ASSEMBLY ARE PERFORMED BY THE KIT PACKERS. SINCE DOWNSTREAM STERILIZATION AND KIT ASSEMBLY IS OUTSIDE THE MANUFACTURING SITE SCOPE FOR THIS COMPLAINT, THE INVESTIGATION FOCUSES ON THE REPORTED MATERIAL INTEGRITY ISSUE FOR THE PRODUCT AS SUPPLIED AND THE AVAILABLE PRODUCTION AND QUALITY RECORDS REVIEWED. ADDITIONAL REPORTED LOT NUMBERS ASSOCIATED WITH THIS COMPLAINT: D212351; 4073LRO000; 5084LRJ700.
Description of Event or Problem · 0
IT WAS REPORTED THAT ALL (16) PROBE COVERS WERE COMPROMISED INSIDE THE PACKAGING, WITH MATERIAL APPEARING DAMAGED AND ADHERED TO THE POUCH. NO PATIENT INJURIES, INFECTIONS, OR COMPLICATIONS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 290327 | MEDLINE-MICROTEK | ROLLED PROBE COVER, 3.5 CM X 20 CM (1.4 IN X 8 IN) | PUI | MICROTEK MEDICAL LLC | PC0907NS | 4084LR1M00 | 00748426261611 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |