LISTERINE GENTLE GUM CARE FLOSS MINT 12547440157

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2020-03-12 for LISTERINE GENTLE GUM CARE FLOSS MINT 12547440157 manufactured by Johnson & Johnson Consumer Inc.

MAUDE Entry Details

Report Number8041101-2020-00005
MDR Report Key9823885
Report SourceCONSUMER
Date Received2020-03-12
Date of Report2020-03-26
Date Mfgr Received2020-03-26
Device Manufacturer Date2019-02-02
Date Added to Maude2020-03-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactLAURIE RAUCO
Manufacturer Street199 GRANDVIEW RD
Manufacturer CitySKILLMAN NJ 085589418
Manufacturer CountryUS
Manufacturer Postal085589418
Manufacturer Phone2152734905
Manufacturer G1JOHNSON & JOHNSON CONSUMER PRODUCTS DR PARQUE INDU
Manufacturer StreetPARQUE INDUSTRIAL DE ITABO CARRETERA S
Manufacturer CityHAINA 91000
Manufacturer CountryDR
Manufacturer Postal Code91000
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLISTERINE GENTLE GUM CARE FLOSS MINT
Generic NameDENTAL FLOSS
Product CodeJES
Date Received2020-03-12
Model Number12547440157
Lot Number04619D
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerJOHNSON & JOHNSON CONSUMER INC
Manufacturer Address199 GRANDVIEW RD SKILLMAN NJ 08558 US 08558


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-03-12

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