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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TAMBRANDS MANUFACTURING, INC TAMPAXTAMPONSPEARLPEARLSUPERDO18CT; TAMPON, MENSTRUAL, SCENTED

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TAMBRANDS MANUFACTURING, INC TAMPAXTAMPONSPEARLPEARLSUPERDO18CT; TAMPON, MENSTRUAL, SCENTED Back to Search Results
Lot Number 7301037908
Device Problem No Apparent Adverse Event (3189)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Manufacturer Narrative
There is insufficient information to perform a product investigation.
 
Event Description
Consumer e-mail stated a couple of tampon applicators had strings missing and stuck inside.No injury was reported.
 
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Brand Name
TAMPAXTAMPONSPEARLPEARLSUPERDO18CT
Type of Device
TAMPON, MENSTRUAL, SCENTED
Manufacturer (Section D)
TAMBRANDS MANUFACTURING, INC
2879 hotel rd
auburn ME 04210
Manufacturer (Section G)
TAMBRANDS MANUFACTURING, INC
2879 hotel rd
auburn ME 04210
Manufacturer Contact
mgr. regulatory feminine care
winton hill business center
b6280 center hill avenue
cincinnati, OH 45224
MDR Report Key11435549
MDR Text Key238401444
Report Number1219109-2021-00071
Device Sequence Number1
Product Code HIL
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K081555
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Reporter Occupation Other
Type of Report Initial
Report Date 02/06/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/08/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Lot Number7301037908
Was Device Available for Evaluation? No
Date Manufacturer Received02/06/2021
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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