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 |