MAUDE Adverse Event Report: JOHNSON & JOHNSON CONSUMER PRODUCTS REACH J&J FLOSS DEEP CLEAN ICY MINT 50YD; DENTAL FLOSS

Model Number 0041803740

Device Problem Break (1069)

Patient Problem No Consequences Or Impact To Patient (2199)

Event Type  malfunction  

Manufacturer Narrative

This foreign report is being submitted on 23-feb-2016 for a device product that is considered same/similar to a us marketed device (rereach j&j floss waxed 55yd).This closes out this report unless additional significant information is received.

Event Description

This spontaneous report was received on (b)(6) 2016 from a consumer reporting on self (age and gender unspecified) from (b)(6).On an unspecified date, the consumer started using reach floss cleanpaste original 32m (route: dental, lot number, expiration date, frequency, and indication unspecified).After an unspecified duration, the consumer noticed the cutter came off the container when the device was used.It was reported that the cutter guard of the floss came off the container every time the consumer tried to cut the string.This report had no adverse event and the action taken with the device was unknown.As the lot number was not provided, lot trend analysis, batch record review, and retain sample analysis could not be performed.The complaint investigation was closed with a disposition of undetermined.This report was considered a reportable malfunction in the united states of america.

Manufacturer Narrative

This foreign report is being submitted on 09-mar-2016 for a device product that is considered same/similar to a us marketed device (reach j&j floss waxed 55yd).This closes out this report unless additional significant information is received.

Event Description

This spontaneous report was received on (b)(6) 2016 from a consumer reporting on self (age and gender unspecified) from (b)(6).On an unspecified date, the consumer started using reach floss cleanpaste original 32m (route: dental, lot number, expiration date, frequency, and indication unspecified).After an unspecified duration, the consumer noticed the cutter came off the container when the device was used.It was reported that the cutter guard of the floss came off the container every time the consumer tried to cut the string.This report had no adverse event and the action taken with the device was unknown.As the lot number was not provided, lot trend analysis, batch record review, and retain sample analysis could not be performed.The complaint investigation was closed with a disposition of undetermined.This report was considered a reportable malfunction in the united states of america.Additional information was received on 23-feb-2016.This device was used for intended treatment.This report remains as a reportable malfunction in the united states of america.

• Brand Name: REACH J&J FLOSS DEEP CLEAN ICY MINT 50YD
• Type of Device: DENTAL FLOSS
• Manufacturer (Section D): JOHNSON & JOHNSON CONSUMER PRODUCTS; parque industrial itabo haina; san cristobal ; DR
• Manufacturer (Section G): JOHNSON & JOHNSON CONSUMER PRODUCTS; parque industrial itabo haina; ni; san cristobal ; DR
• Manufacturer Contact: julie thomas ; johnson & johnson consumer inc; 199 grandview road; skillman, NJ 08558 ; 9082557895
• MDR Report Key: 5453931
• MDR Text Key: 38786238
• Report Number: 8041101-2016-00009
• Device Sequence Number: 1
• Product Code: JES
• Combination Product (y/n): N
• Reporter Country Code: JA
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: consumer,foreign
• Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date: 02/01/2016

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 02/23/2016
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Device Model Number: 0041803740
• Device Lot Number: UNKNOWN
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Event Location: Other
• Date Manufacturer Received: 02/23/2016
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Type of Device Usage: N
• Removal/Correction Number: NI
• Patient Sequence Number: 1