FDA Adverse Event
Malfunction
Summary report: N
MASKS
MDR report key: 10634786
·
Received October 6, 2020
Report
- Report Number
- 10634786
- Event Type
- Malfunction
- Date Received
- October 6, 2020
- Date of Event
- July 14, 2020
- Report Date
- September 23, 2020
- Manufacturer
- XIANTAO ZHIBO NONWOVEN PRODUCTS CO.,LTD
- Product Code
- FXX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- WI
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
BLUE SURGICAL MASKS WITH EAR LOOP: STAFF STATES THERE WERE TINY PIECES OF FIBER LOOSE ON THE INSIDE OF THE MASK THAT WOULD GET INTO HER MOUTH WHEN SPEAKING AND WAS ACTUALLY ABLE TO WRAP A PIECE OF FIBER AROUND HER TONGUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1101987 | MASKS | MASK, SURGICAL | FXX | XIANTAO ZHIBO NONWOVEN PRODUCTS CO.,LTD | 20200318 | 20200318 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |