FDA Adverse Event Malfunction Summary report: N

L.TAMPONSORGCOTTONCOMPAKSUPER

MDR report key: 13711381 · Received March 9, 2022

Report

Report Number
1219109-2022-00092
Event Type
Malfunction
Date Received
March 9, 2022
Report Date
February 8, 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

THERE IS INSUFFICIENT INFORMATION TO PERFORM A PRODUCT INVESTIGATION.

Additional Manufacturer Narrative · 0

A PRODUCT INVESTIGATION IS IN PROGRESS.

Description of Event or Problem · 0

TRYING TO DIG THE PIECES/FIBERS OUT THIS MORNING - VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT]. TAMPONS ARE LITERALLY COMING APART [DEVICE BREAKAGE]. SPENT A LONG TIME TRYING TO DIG THE PIECES/FIBERS OUT THIS MORNING - TAMPON [COMPLICATION OF DEVICE REMOVAL]. CASE DESCRIPTION: CONSUMER REPORTED VIA E-MAIL THAT TAMPONS ARE COMING APART. NO SERIOUS INJURY REPORTED.

Description of Event or Problem · 0

TRYING TO DIG THE PIECES/FIBERS OUT THIS MORNING - VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT]. TAMPONS ARE LITERALLY COMING APART [DEVICE BREAKAGE]. SPENT A LONG LONG TIME TRYING TO DIG THE PIECES/FIBERS OUT THIS MORNING - TAMPON .[COMPLICATION OF DEVICE REMOVAL]. CASE DESCRIPTION: CONSUMER REPORTED VIA E-MAIL THAT TAMPONS ARE COMING APART. NO SERIOUS INJURY REPORTED. FOLLOW-UP: 07-MAR-2022: RETURNED PRODUCT IDENTIFIED AS ONTEX L. PLEASE SEE REPORT 1216894-2022-00017 REGARDING THE PRODUCT THAT WAS NOT MANUFACTURED BY TAMBRANDS MANUFACTURING, INC. IN AUBURN, MAINE, USA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2537893 L.TAMPONSORGCOTTONCOMPAKSUPER TAMPON, MENSTRUAL, UNSCENTED HEB ONTEX HYGIENEARTIKEL GMBH 1825474

Patients

Seq Age Sex Outcome Treatment
1 Female