FDA Adverse Event Malfunction Summary report: N

TAMPAXTAMPONSPEARLPOCKETPEARLCOMPAKMIXEDNONDO96CT

MDR report key: 15362243 · Received September 6, 2022

Report

Report Number
1219109-2022-00373
Event Type
Malfunction
Date Received
September 6, 2022
Report Date
November 3, 2022
Manufacturer
TAMBRANDS MANUFACTURING, INC
Product Code
HEB
PMA / PMN Number
K133244
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

PRODUCT WAS IDENTIFIED AS A NON P&G TAMPONS PRODUCT.

Additional Manufacturer Narrative · 0

CORRECTION: PRODUCT NAME THERE IS INSUFFICIENT INFORMATION TO PERFORM A PRODUCT INVESTIGATION.

Description of Event or Problem · 0

UTI [URINARY TRACT INFECTION] . TAMPON STUCK INSIDE- VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT]. MISSING STRING - TAMPON [DEVICE PHYSICAL PROPERTY ISSUE]. CASE NARRATIVE: CONSUMER REPORTED VIA E-MAIL THAT TAMPON WAS MISSING A STRING. NO SERIOUS INJURY REPORTED.

Description of Event or Problem · 0

TAMPON STUCK INSIDE- VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT] UTI [URINARY TRACT INFECTION] MISSING STRING - TAMPON [DEVICE PHYSICAL PROPERTY ISSUE] CASE NARRATIVE: CONSUMER REPORTED VIA E-MAIL THAT TAMPON WAS MISSING A STRING. NO SERIOUS INJURY REPORTED. FOLLOW-UP: (B)(6) 2022: RETURNED PRODUCT RECEIVED CONFIRMED THAT THE TAMPONS WERE NOT MANUFACTURED BY TAMBRANDS MANUFACTURING, INC. IN AUBURN, MAINE, USA, AND THIS CASE WILL BE DELETED FROM OUR DATABASE.

Description of Event or Problem · 0

TAMPON STUCK INSIDE- VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT] UTI [URINARY TRACT INFECTION] MISSING STRING - TAMPON [DEVICE PHYSICAL PROPERTY ISSUE] CASE NARRATIVE: CONSUMER REPORTED VIA E-MAIL THAT TAMPON WAS MISSING A STRING. NO SERIOUS INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2500937 TAMPAXTAMPONSPEARLPOCKETPEARLCOMPAKMIXEDNONDO96CT TAMPON, MENSTRUAL, UNSCENTED - HEB HEB TAMBRANDS MANUFACTURING, INC

Patients

Seq Age Sex Outcome Treatment
1 Female