FDA Adverse Event Malfunction Summary report: N

ACCESSORY, SURGICAL APPAREL

MDR report key: 10634847 · Received October 6, 2020

Report

Report Number
10634847
Event Type
Malfunction
Date Received
October 6, 2020
Date of Event
August 13, 2020
Report Date
September 23, 2020
Manufacturer
GUIZHOU CHIENYEH PHARMACEUTICAL PACKAGING CO.,LTD
Product Code
LYU
Product Problem
Yes
Report Source
User Facility report
Reporter Location
WI
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

EAR LOOPS ARE DISCONNECTED WHEN MASK TAKEN FROM BOX, OR LOOPS BREAK THE FIRST TIME STAFF REMOVE MASK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1102928 ACCESSORY, SURGICAL APPAREL LYU GUIZHOU CHIENYEH PHARMACEUTICAL PACKAGING CO.,LTD 2020019

Patients

Seq Age Sex Outcome Treatment
1