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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: COLGATE PALMOLIVE COMPANY COL DENTAL FLOSS

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COLGATE PALMOLIVE COMPANY COL DENTAL FLOSS Back to Search Results
Device Problems Material Fragmentation (1261); Physical Resistance/Sticking (4012)
Patient Problems Unspecified Infection (1930); Foreign Body In Patient (2687)
Event Type  Injury  
Event Description
This is a spontaneous report received on 15jun2021 by sales representative from dental office regarding a female patient (in her 20s) who stated that col dental floss was shredding and got caught up under the gums and she had infection.There was no relevant medical history provided.On an unspecified date in 2021 (a couple of months ago), patient started using col dental floss for good oral hygiene twice daily.Sales representative was informed that col dental floss shreds and it got caught up under patient's gums (a couple of months ago).On an unspecified date patient went to periodontist to remove the floss from under the gums and it caused an infection.The dental office person stated that the new colgate dental floss they are using in "the brown container" was also shredding.On an unspecified in 2021 patient stopped using col dental floss.At the time of this report, patient had recovered from the events.
 
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Brand Name
COL DENTAL FLOSS
Type of Device
COL DENTAL FLOSS
Manufacturer (Section G)
COLGATE PALMOLIVE COMPANY
909 river road
piscataway NJ 08854
Manufacturer Contact
leonard humel
909 river road
piscataway, NJ 08854
MDR Report Key12092556
MDR Text Key259178830
Report Number0002418748-2021-00001
Device Sequence Number1
Product Code JES
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional
Reporter Occupation Dentist
Type of Report Initial
Report Date 06/15/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator No Information
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 06/15/2021
Initial Date FDA Received06/30/2021
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? Yes
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Other;
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