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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SUNSTAR AMERICAS, INC. GUM® PROXABRUSH® GO-BETWEENS®; CLEANERS TIGHT; INTERDENTAL BRUSH

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SUNSTAR AMERICAS, INC. GUM® PROXABRUSH® GO-BETWEENS®; CLEANERS TIGHT; INTERDENTAL BRUSH Back to Search Results
Model Number 872RQ
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/21/2025
Type of Reportable Event Malfunction
Event or Problem Description
Consumer stated the tip broke off the handle after 4 uses and was lodged in her teeth.She was able to remove it on her own.She said this is not the first time this has happened.She's been using them for years without issue but lately they are breaking with little use.No injury was reported nor did she seek medical attention.
 
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Brand Name
GUM® PROXABRUSH® GO-BETWEENS®; CLEANERS TIGHT
Common Device Name
INTERDENTAL BRUSH
Manufacturer (Section D)
SUNSTAR AMERICAS, INC.
301 e. central road
schaumburg IL 60195
Manufacturer (Section G)
SUNSTAR AMERICAS, INC.
301 e. central road
schaumburg IL 60195
Manufacturer Contact
paula wendland
301 e. central road
schaumburg, IL 60061
8477944331
MDR Report Key22821411
Report Number1413787-2025-00222
Device Sequence Number18582041
Product Code EFW
UDI-Device Identifier00070942002448
UDI-Public00070942002448
Combination Product (Y/N)N
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 08/15/2025
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
Device Model Number872RQ
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/21/2025
Initial Report FDA Received Date08/15/2025
Usage of Device A
Patient Sequence Number1
Patient SexUnknown
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