FLUGUARD DISPOSABLE FACE MASK WITH ELASTIC EAR LOOP 3 PLY 100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-06 for FLUGUARD DISPOSABLE FACE MASK WITH ELASTIC EAR LOOP 3 PLY 100 manufactured by Unk.

Event Text Entries

[183329093] (b)(6) ,listed 400-ply masks on (b)(6), claiming they are effective for blocking pollen, dust, germs, etc. I purchased the masks and sent them to (b)(6) as personal protection items for a friend. When received, the masks were defective due to lack of the middle filter layer and cannot block any of the particles it claimed. Seller refused to take defective product back. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093621
MDR Report Key9805375
Date Received2020-03-06
Date of Report2020-03-05
Date of Event2020-02-27
Date Added to Maude2020-03-09
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 FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFLUGUARD DISPOSABLE FACE MASK WITH ELASTIC EAR LOOP
Generic NameMASK, SURGICAL
Product CodeFXX
Date Received2020-03-06
Model Number3 PLY 100
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-06

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