MAUDE Adverse Event Report: O&M HALYARD, INC. HALYARD; MASK, SURGICAL

Model Number	62115
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	02/18/2026
Type of Reportable Event	Malfunction
Event or Problem Description
Several contaminated masks from halyard found throughout the day.

• Brand Name: HALYARD
• Common Device Name: MASK, SURGICAL
• Manufacturer (Section D): O&M HALYARD, INC.; 1220 old alpharetta rd; ste 320; alpharetta GA 30005
• MDR Report Key: 24413397
• Report Number: 24413397
• Device Sequence Number: 14922195
• Product Code: FXX
• UDI-Device Identifier: 20680651621157
• UDI-Public: (01)20680651621157
• Combination Product (Y/N): N
• Initial Reporter State: RI
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: User Facility
• Initial Reporter Occupation: Risk Manager
• Type of Report: Initial
• Report Date (Section B): 02/19/2026
• Report Date (Section F): 02/19/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Model Number: 62115
• Device Catalogue Number: 62115
• Device Lot Number: AM5307141
• Is the Reporter a Health Professional?: No
• Was the Report Sent to FDA?: Yes
• Event Location: Hospital
• Date Report to Manufacturer: 02/23/2026
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 02/23/2026
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other
• Patient Sex: Unknown
• Date Report Sent to FDA: 02/19/2026