FDA Adverse Event
Malfunction
Summary report: N
U BY KOTEX CLICK : TAMPON, MENSTRUAL, UNSCENTED : HEB
MDR report key: 23465334
·
Received November 4, 2025
Report
- Report Number
- 3011109575-2025-00083
- Event Type
- Malfunction
- Date Received
- November 4, 2025
- Date of Event
- October 13, 2025
- Report Date
- November 4, 2025
- Manufacturer
- K-C AFC MANUFACTURING, S. DE R.L. DE C.V
- Product Code
- HEB
- PMA / PMN Number
- K223749
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
THE PRIMARY DI AND PRODUCTION IDENTIFIER OF LOT NUMBER WERE NOT AVAILABLE FROM THE REPORTER. AN ATTEMPT WAS MADE TO OBTAIN MORE INFORMATION FOR THIS SOCIAL MEDIA COMPLAINT, INCLUDING THE REPORTER'S NAME AND ADDRESS. WITH NO MEANS TO DETERMINE THE MANUFACTURER/ASSET LINE AND DAY OF PRODUCTION, NO FURTHER INVESTIGATION ON DOCUMENTS AND SUPPORTING RECORDS CAN BE PERFORMED.
Description of Event or Problem · 0
REPORT 1 OF 2. CONSUMER REPORTED UPON REMOVAL OF A REGULAR ABSORBENCY TAMPON, THE STRING SEPARATED FROM THE PLEDGET. SHE MANUALLY REMOVED THE PLEDGET FROM HER VAGINAL CAVITY. SHE DID NOT REPORT ANY ADVERSE HEALTH EFFECTS OR THE NEED FOR MEDICAL ATTENTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1834881 | U BY KOTEX CLICK : TAMPON, MENSTRUAL, UNSCENTED : HEB | TAMPON, MENSTRUAL, UNSCENTED | HEB | K-C AFC MANUFACTURING, S. DE R.L. DE C.V | KOTEX TAMPONS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female |