FDA Adverse Event Malfunction Summary report: N

TAMPAX RADIANT TAMPON UNSCENTED, ABSORBENCY UNKNOWN

MDR report key: 11455429 · Received March 10, 2021

Report

Report Number
1219109-2021-00083
Event Type
Malfunction
Date Received
March 10, 2021
Report Date
February 10, 2021
Manufacturer
TAMBRANDS MANUFACTURING, INC
Product Code
HEB
PMA / PMN Number
K110669
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

CORRECTION: PRODUCT UPDATED TO TAMPAX TAMPONS RADIANT (D1) AND 510(K) UPDATED TO K110669 (G5). THERE IS INSUFFICIENT INFORMATION TO PERFORM A PRODUCT INVESTIGATION.

Description of Event or Problem · 0

HAVING TO FISH A TAMPON (OUT) - VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT] STRINGS DID NOT SEEM TO BE ATTACHED VERY WELL... (HAVING TO FISH A TAMPON) [DEVICE BREAKAGE] TAMPON APPLICATORS WOULD NOT CLICK INTO PLACE [DEVICE PHYSICAL PROPERTY ISSUE] CONSUMER E-MAIL STATED THE APPLICATORS WOULD NOT CLICK INTO PLACE, AND THE STRINGS DID NOT SEEM TO BE ATTACHED WELL. NO SERIOUS INJURY WAS REPORTED.

Additional Manufacturer Narrative · 1

THERE IS INSUFFICIENT INFORMATION TO PERFORM A PRODUCT INVESTIGATION.

Description of Event or Problem · 1

HAVING TO FISH A TAMPON (OUT): VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT]. STRINGS DID NOT SEEM TO BE ATTACHED VERY WELL...(HAVING TO FISH A TAMPON) [DEVICE BREAKAGE]. TAMPON APPLICATORS WOULD NOT CLICK INTO PLACE [DEVICE PHYSICAL PROPERTY ISSUE]. CASE DESCRIPTION: CONSUMER E-MAIL STATED THE APPLICATORS WOULD NOT CLICK INTO PLACE, AND THE STRINGS DID NOT SEEM TO BE ATTACHED WELL. NO SERIOUS INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
347772 TAMPAX RADIANT TAMPON UNSCENTED, ABSORBENCY UNKNOWN TAMPON, MENSTRUAL, UNSCENTED HEB TAMBRANDS MANUFACTURING, INC NOT AVAILABLE

Patients

Seq Age Sex Outcome Treatment
1