inforMED
MalfunctionMSH

KIMBERLY-CLARK® N95 PARTICULATE FILTER RESPIRATOR AND SURGICAL MASK

Received May 1, 2020 · Event occurred Apr 27, 2020

Report 10017185 · MDR key 10017185

Device

Generic name

Respirator,surgical

Model number

46867

Lot number

NIOSH TC-84A-7520

Product problems

  • Break

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

RN WAS BEING FIT TESTED BY EDUCATOR AND WHEN SHE WENT TO PUT ON A SMALL N95 MASK, ONE OF THE STRAPS BROKE. MASK- KIMBERLY CLARK CORP, PFR95, N95 PARTICULATE RESPIRATOR, NIOSH (B)(4) SMALL. MANUFACTURER RESPONSE FOR PROTECTIVE MASK, N-95 MASK (SMALL) (PER SITE REPORTER). UNKNOWN.