MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2019-02-15 for LISTERINE DENTAL FLOSS UNSPECIFIED manufactured by Johnson & Johnson Consumer Inc.
[136243861]
Device was used for treatment, not diagnosis. Patient identifier, age, weight, ethnicity and race was not provided for reporting. This report is for unknown listerine floss. Upc#, lot# and udi # is not available. Device is not expected to be returned for manufacturer review/investigation. Device evaluation/investigation could not be completed; no conclusion could be drawn as product was not returned to manufacturer. Device history records review could not be completed without lot number. If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10
[136243862]
A female consumer reported that while flossing with the listerine dental floss it kept breaking and got caught in her teeth. The consumer had to go to her dentist to remove the floss that she was unable to do herself. The issue has resolved.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 8041154-2019-00039 |
| MDR Report Key | 8342826 |
| Report Source | CONSUMER |
| Date Received | 2019-02-15 |
| Date of Report | 2019-01-21 |
| Date Mfgr Received | 2019-01-21 |
| Date Added to Maude | 2019-02-15 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | LINDA PLEWS |
| Manufacturer Street | 199 GRANDVIEW RD |
| Manufacturer City | SKILLMAN NJ 085589418 |
| Manufacturer Country | US |
| Manufacturer Postal | 085589418 |
| Manufacturer Phone | 2152737120 |
| Manufacturer G1 | JOHNSON & JOHNSON CONSUMER PRODUCTS DR PARQUE INDU |
| Manufacturer Street | PARQUE INDUSTRIAL DE ITABO CARRETERA S |
| Manufacturer City | HAINA 91000 |
| Manufacturer Country | DR |
| Manufacturer Postal Code | 91000 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LISTERINE DENTAL FLOSS UNSPECIFIED |
| Generic Name | DENTAL FLOSS |
| Product Code | JES |
| Date Received | 2019-02-15 |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | JOHNSON & JOHNSON CONSUMER INC |
| Manufacturer Address | 199 GRANDVIEW RD SKILLMAN NJ 085589418 US 085589418 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2019-02-15 |