FDA Adverse Event Injury Summary report: N

DENTAL FLOSSERS

MDR report key: 3912924 · Received June 10, 2014

Report

Report Number
1825660-2014-00852
Event Type
Injury
Date Received
June 10, 2014
Date of Event
May 20, 2014
Report Date
June 5, 2014
Manufacturer
RANIR, LLC.
Product Code
JES
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

NO ADDITIONAL INFORMATION IS GIVEN BY THE CONSUMER. NO LOT CODE WAS GIVEN, NO PRODUCT WAS RETURNED FOR INVESTIGATION. TOOTH FRACTURE IS CONSIDERED A SERIOUS INJURY AND A REPORTABLE EVENT. HOWEVER, DENTAL PROFESSIONALS HAVE INDICATED THAT A HEALTHY TOOTH CANNOT BE BROKEN, FRACTURED, OR OTHERWISE COMPROMISED, AND FOR THIS TYPE OF INJURY TO OCCUR THE CONSUMER'S TEETH HAD TO BE COMPROMISED IN SOME FASHION AND IS NOT A RESULT OF THE FLOSS ITSELF.

Description of Event or Problem · 1

HER TEETH ARE TIGHT AND AFTER TRYING IT SHE ENDED UP GETTING THE FLOSS STUCK BETWEEN HER TEETH AND BROKE HER TEETH. HAD TO GET CROWN WORK WHICH COST (B)(6). TRIED IT AGAIN AND THANKFULLY IT DIDN'T CAUSE ANY DAMAGE BUT IT GOT STUCK BETWEEN HER TEETH AGAIN AND SHE HAD TO TAKE SCISSORS AND CUT THE FLOSS OUT, CAREFULLY SINCE IT WAS IN THERE SO SECURE. FLOSS HURT HER GUM TISSUE WHICH WAS NO BIG DEAL. SINCE SHE HAD TO PULL THE FLOSS AGAIN BECAUSE SHE COULDN'T CUT IT WHERE IT WAS AT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
338521 DENTAL FLOSSERS DENTAL FLOSSERS JES RANIR, LLC.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention