FDA Adverse Event Malfunction Summary report: N

L.TAMPONSORGCOTTONCOMPAKSUPER

MDR report key: 13472080 · Received February 7, 2022

Report

Report Number
1219109-2022-00046
Event Type
Malfunction
Date Received
February 7, 2022
Report Date
January 9, 2022
Manufacturer
ONTEX HYGIENEARTIKEL GMBH
Product Code
HEB
PMA / PMN Number
K162746
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

AN INVESTIGATION IS IN PROGRESS FOR RETURNED PRODUCT RECEIVED ON MARCH,11 2022.

Additional Manufacturer Narrative · 0

THERE IS INSUFFICIENT INFORMATION TO PERFORM A PRODUCT INVESTIGATION.

Description of Event or Problem · 0

TAMPONS BECOME UNRAVELED DURING REMOVAL, RETAINED- VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT] TAMPONS BECOME UNRAVELED [DEVICE BREAKAGE] TAMPONS BECOME UNRAVELED AS REMOVING THEM [COMPLICATION OF DEVICE REMOVAL] CASE DESCRIPTION: CONSUMER REPORTED VIA E-MAIL THAT TAMPONS UNRAVELED AS SHE WAS REMOVING THEM. NO SERIOUS INJURY REPORTED. FOLLOW-UP: 07-MAR-2022: RETURNED PRODUCT IDENTIFIED AS ONTEX L. PLEASE SEE REPORT 1216894-2022-00019 REGARDING THE PRODUCT THAT WAS NOT MANUFACTURED BY TAMBRANDS MANUFACTURING, INC. IN AUBURN, MAINE, USA.

Description of Event or Problem · 0

TAMPONS BECOME UNRAVELED DURING REMOVAL, RETAINED- VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT] TAMPONS BECOME UNRAVELED [DEVICE BREAKAGE] TAMPONS BECOME UNRAVELED AS REMOVING THEM [COMPLICATION OF DEVICE REMOVAL] CASE DESCRIPTION: CONSUMER REPORTED VIA E-MAIL THAT TAMPONS UNRAVELED AS SHE WAS REMOVING THEM. NO SERIOUS INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1446471 L.TAMPONSORGCOTTONCOMPAKSUPER TAMPON, MENSTRUAL, UNSCENTED HEB ONTEX HYGIENEARTIKEL GMBH 1825477 10:49

Patients

Seq Age Sex Outcome Treatment
1 Female