FDA Adverse Event
Malfunction
Summary report: N
HONGYU DISPOSABLE MEDICAL FACE MASK
MDR report key: 11071848
·
Received December 24, 2020
Report
- Report Number
- 11071848
- Event Type
- Malfunction
- Date Received
- December 24, 2020
- Date of Event
- December 7, 2020
- Report Date
- December 16, 2020
- Manufacturer
- ZHEJIANG HONGYU MEDICAL COMMODITY CO., LTD
- Product Code
- KHA
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
MULTIPLE BOXES CONTAIN MASKS WITH BROKEN EAR LOOPS ON ONE SIDE OF MASK. OTHER MASKS IN BOXES THAT DID NOT ARRIVE BROKEN STARTED TO BREAK WITH STAFF WEARING THEM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1535454 | HONGYU DISPOSABLE MEDICAL FACE MASK | MASK, SCAVENGING | KHA | ZHEJIANG HONGYU MEDICAL COMMODITY CO., LTD | 20200403 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |