FDA Adverse Event Malfunction Summary report: Y

DUKE HEALTH EUA 200335

MDR report key: 10754539 · Received October 29, 2020

Report

Report Number
3017487795-2020-00002
Event Type
Malfunction
Date Received
October 29, 2020
Date of Event
September 1, 2020
Report Date
October 27, 2020
Manufacturer
DUKE UNIVERSITY HEALTH SYSTEM
Product Code
QKY
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RECEIVED THE FOLLOWING IN AN EMAIL, "FOR YOUR AWARENESS AND IN CASE THIS BECOMES A TREND - TWO REPROCESSED N95 STRAPS BROKE ON 8200 WHILE THE CAREGIVERS WERE IN THE ROOM". N95 MASKS WERE DISCARDED AND SUBSEQUENT FOLLOW-UP DETERMINED THE EVENTS WERE ANECDOTAL.

Description of Event or Problem · 1

RECEIVED THE FOLLOWING IN AN EMAIL, "FOR YOUR AWARENESS AND IN CASE THIS BECOMES A TREND - TWO REPROCESSED N95 STRAPS BROKE ON 8200 WHILE THE CAREGIVERS WERE IN THE ROOM". N95 MASKS WERE DISCARDED AND SUBSEQUENT FOLLOW-UP DETERMINED THE EVENTS WERE ANECDOTAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1224613 DUKE HEALTH EUA 200335 DUKE DECONTAMINATION SYSTEM QKY DUKE UNIVERSITY HEALTH SYSTEM

Patients

Seq Age Sex Outcome Treatment
1