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 |