MAUDE Adverse Event Report: SUNSTAR AMERICAS, INC. GUM® PROXABRUSH® GO-BETWEENS®; CLEANERS TIGHT 36/BOX- PROFESSIONAL; INTERDENTAL BRUSH

Model Number	872PQ
Medical Device Problem Code	Break (1069)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	06/02/2025
Type of Reportable Event	Malfunction
Event or Problem Description
Customer bought gum® proxabrush® go-betweens® tight and stated the each of the ten picks broke off in his mouth after minimal usage: more than one during initial use.Customer stated he did not sustain any injury from the product.

• Brand Name: GUM® PROXABRUSH® GO-BETWEENS®; CLEANERS TIGHT 36/BOX- PROFESSIONAL
• 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: priya bhatia ; 301 e. central road; schaumburg, IL 60195 ; 8477944331
• MDR Report Key: 23019772
• Report Number: 1413787-2025-00225
• Device Sequence Number: 18535030
• Product Code: EFW
• UDI-Device Identifier: 00070942752862
• UDI-Public: 00070942752862
• Combination Product (Y/N): N
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Initial Reporter Occupation: Other
• Type of Report: Initial
• Report Date (Section B): 09/10/2025

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 Number: 872PQ
• Was Device Available for Evaluation?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 08/12/2025
• Initial Report FDA Received Date: 09/10/2025
• Usage of Device: A
• Patient Sequence Number: 1
• Patient Sex: Unknown