FDA Adverse Event Malfunction Summary report: N

L.TAMPONSORGCOTTONCOMPAK

MDR report key: 16034239 · Received December 22, 2022

Report

Report Number
1219109-2022-00501
Event Type
Malfunction
Date Received
December 22, 2022
Report Date
February 1, 2023
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 THE CONFIRMED ONTEX LOT CODE ON JANUARY 9, 2023.

Additional Manufacturer Narrative · 0

THERE IS INSUFFICIENT INFORMATION TO PERFORM A PRODUCT INVESTIGATION.

Description of Event or Problem · 0

BALL OF COTTON STUCK INSIDE VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT]. SMELL DOWN THERE- VAGINA [VAGINAL ODOUR]. BALL OF COTTON WITH BLOOD CAME OUT OF MY VAGINA....STUCK INSIDE FOR LIKE A WEEK [DEVICE BREAKAGE]. CASE NARRATIVE: CONSUMER REPORTED VIA PHONE THAT A BALL OF COTTON CAME OUT OF HER VAGINA THAT HAD BEEN STUCK INSIDE. NO SERIOUS INJURY WAS REPORTED. ON 09-JAN-2023: PRODUCT IDENTIFIED AS ONTEX L. FROM LOT CODE PROVIDED. PLEASE SEE REPORT 1216894-2023-00002 REGARDING THE TAMPON PRODUCT THAT WAS NOT MANUFACTURED BY TAMBRANDS MANUFACTURING, INC. IN AUBURN, MAINE, USA.

Description of Event or Problem · 0

BALL OF COTTON STUCK INSIDE VAGINA [FOREIGN BODY IN REPRODUCTIVE TRACT]. SMELL DOWN THERE- VAGINA [VAGINAL ODOUR]. BALL OF COTTON WITH BLOOD CAME OUT OF MY VAGINA....STUCK INSIDE FOR LIKE A WEEK [DEVICE BREAKAGE]. CASE NARRATIVE: CONSUMER REPORTED VIA PHONE THAT A BALL OF COTTON CAME OUT OF HER VAGINA THAT HAD BEEN STUCK INSIDE. NO SERIOUS INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1632090 L.TAMPONSORGCOTTONCOMPAK TAMPON, MENSTRUAL, UNSCENTED - HEB HEB ONTEX HYGIENEARTIKEL GMBH 1851177

Patients

Seq Age Sex Outcome Treatment
1 21 YR Female