BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SUPER SLIP FLOSSER

    MDR report key: 4232918 · Received November 6, 2014

    Report

    Report Number
    1825660-2014-00942
    Event Type
    Injury
    Date Received
    November 6, 2014
    Date of Event
    October 8, 2014
    Report Date
    November 5, 2014
    Manufacturer
    RANIR, LLC
    Product Code
    JES
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATED THAT SHE WAS FLOSSING AND WHEN SHE PULLED THE FLOSSER OUT, HER FILLING CAME UP. SHE HAD TO PAY (B)(6) TO REPAIR IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    713261 SUPER SLIP FLOSSER MOUTH GUARD JES RANIR, LLC SUPER SLIP FLOSSER

    Patients

    Seq Age Sex Outcome Treatment
    1