RESPIRATOR MASK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-07-13 for RESPIRATOR MASK manufactured by 3m.

Event Text Entries

[80143180] Patient put on a mask during the day and later on in the evening he got really bad symptoms of a cold. Patient stated that he was sneezing every couple of minutes for 12 hrs, and after that the symptom went away. A week later, patient put the mask on again and he got the same symptoms.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5070974
MDR Report Key6713618
Date Received2017-07-13
Date of Report2017-07-13
Date of Event2017-06-29
Date Added to Maude2017-07-14
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameRESPIRATOR MASK
Generic NameRESPIRATOR, SURGICAL
Product CodeMSH
Date Received2017-07-13
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
Manufacturer3M


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-07-13

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