REACH JOHNSON & JOHNSON FLOSS FLOURIDE MINT WAXED

Report

• Report Number: 8041101-2011-00003
• Event Type: Malfunction
• Date Received: September 16, 2011
• Report Date: September 16, 2011
• Manufacturer: JOHNSON & JOHNSON CONSUMER PRODUCTS
• Product Code: JES
• Removal / Correction Number: NI
• Product Problem: Yes
• Report Source: Manufacturer report
• Reporter Occupation: OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THIS CLOSES OUT THIS REPORT UNLESS OTHER ADDITIONAL SIGNIFICANT INFORMATION IS RECEIVED.

Description of Event or Problem · 1

THIS SPONTANEOUS REPORT WAS RECEIVED ON 23-AUG-2011 CONCERNING A CONSUMER (AGE AND GENDER UNSPECIFIED) REPORTING ON SELF FROM THE UNITED STATES. ON AN UNSPECIFIED DATE, THE CONSUMER NOTICED THAT DISPENSER OF REACH JOHNSON & JOHNSON FLOSS FLUORIDE MINT WAXED (LOT NUMBER: 3480D AND EXPIRATION DATE: UNSPECIFIED) POPPED OFF AND THE PART THAT HAD CUTTER CAME OFF. THIS REPORT HAD NO ADVERSE EVENT AND THE ACTION TAKEN WITH THE DEVICE WAS NOT APPLICABLE. THIS REPORT WAS CONSIDERED A REPORTABLE MALFUNCTION CASE.

Devices

Seq	Brand	Generic	Product Code	Manufacturer	Model	Lot	UDI-DI
1	REACH JOHNSON & JOHNSON FLOSS FLOURIDE MINT WAXED	DENTAL FLOSS	JES	JOHNSON & JOHNSON CONSUMER PRODUCTS	REFFMWUS	3480D

Patients

Seq	Age	Sex	Outcome	Treatment
1

Terms

Source type · 1

• Consumer

Type of report · 1

• Initial submission