FDA Adverse Event Malfunction Summary report: N

L.TAMPONSORGCOTTONPLASTICSUPERNONDO

MDR report key: 14883886 · Received July 1, 2022

Report

Report Number
1219109-2022-00250
Event Type
Malfunction
Date Received
July 1, 2022
Report Date
September 20, 2022
Manufacturer
TAMBRANDS MANUFACTURING, INC
Product Code
HEB
PMA / PMN Number
K081555
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

NO FAILURE COULD BE IDENTIFIED AS A RESULT OF THE INVESTIGATION.

Additional Manufacturer Narrative · 0

AN INVESTIGATION IS IN PROGRESS FOR RETURNED PRODUCT RECEIVED ON JULY 20, 2022.

Description of Event or Problem · 0

TAMPONS BREAK OFF INSIDE OF ME AND I HAD TO FISH THEM OUT- VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT]. TAMPONS BREAK OFF INSIDE OF ME [DEVICE BREAKAGE]. CASE NARRATIVE: CONSUMER REPORTED VIA EMAIL THAT TWO TAMPONS BROKE OFF INSIDE OF HER AND SHE HAD TO FISH THEM OUT. NO SERIOUS INJURY WAS REPORTED.

Description of Event or Problem · 0

TAMPONS BREAK OFF INSIDE OF ME AND I HAD TO FISH THEM OUT- VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT] TAMPONS BREAK OFF INSIDE OF ME [DEVICE BREAKAGE] CASE NARRATIVE: CONSUMER REPORTED VIA EMAIL THAT TWO TAMPONS BROKE OFF INSIDE OF HER AND SHE HAD TO FISH THEM OUT. NO SERIOUS INJURY WAS REPORTED.

Description of Event or Problem · 0

TAMPONS BREAK OFF INSIDE OF ME AND I HAD TO FISH THEM OUT- VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT] TAMPONS BREAK OFF INSIDE OF ME [DEVICE BREAKAGE] CASE NARRATIVE: CONSUMER REPORTED VIA EMAIL THAT TWO TAMPONS BROKE OFF INSIDE OF HER AND SHE HAD TO FISH THEM OUT. NO SERIOUS INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1472699 L.TAMPONSORGCOTTONPLASTICSUPERNONDO TAMPON, MENSTRUAL, UNSCENTED - HEB HEB TAMBRANDS MANUFACTURING, INC 2121243068W

Patients

Seq Age Sex Outcome Treatment
1 Female