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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PUBLIX SUPER MARKETS, INC. PUBLIX WAXED FLOSS; FLOSS, DENTAL

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PUBLIX SUPER MARKETS, INC. PUBLIX WAXED FLOSS; FLOSS, DENTAL Back to Search Results
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Event Description
Describe event, problem, or product use error: publix branded floss container label black ink rubs off during use (your picture download system would not allow downloads for some reason.Fyi.I can email them to you.).
 
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Brand Name
PUBLIX WAXED FLOSS
Type of Device
FLOSS, DENTAL
Manufacturer (Section D)
PUBLIX SUPER MARKETS, INC.
po box 407
lakeland FL 33802
MDR Report Key18629979
MDR Text Key334620484
Report NumberMW5150985
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 Voluntary
Reporter Occupation Physician
Type of Report Initial
Report Date 01/30/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received Not provided
Initial Date FDA Received02/01/2024
Patient Sequence Number1
Patient SexPrefer Not To Disclose
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