STIM-U-DENT STIM-U-DENTS 3436200001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-03-25 for STIM-U-DENT STIM-U-DENTS 3436200001 manufactured by Revive Personal Products Company.

Event Text Entries

[1920850] A product of review personal products company stim-u-dent plaque removers (mint flavor) has a disturbing taste, not a mint taste. I have used stim-u-dent for tens of years and have never experienced anything like this. This lot 1320c was made in (b)(4) and is packaged in a differently colored package. I contacted the manufacturer and they claim to know about, to be aware of quality issues, and said they would send me replacements. I am concerned as to what has been used to mfr this product. I have all but two "picks". I would be happy to send them to you.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5019971
MDR Report Key2034787
Date Received2011-03-25
Date of Report2011-03-25
Date Added to Maude2011-04-04
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSTIM-U-DENT
Generic NameDENTAL PICKS
Product CodeJET
Date Received2011-03-25
Model NumberSTIM-U-DENTS
Catalog Number3436200001
Lot Number1320C
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerREVIVE PERSONAL PRODUCTS COMPANY
Manufacturer AddressMADISON NJ 07940 US 07940


Patients

Patient NumberTreatmentOutcomeDate
10 2011-03-25

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