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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TAMBRANDS MANUFACTURING, INC TAMPAXTAMPONSPEARLFULLSIZEREGNORUNSCNT36CT; TAMPON, MENSTRUAL, UNSCENTED - HEB

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TAMBRANDS MANUFACTURING, INC TAMPAXTAMPONSPEARLFULLSIZEREGNORUNSCNT36CT; TAMPON, MENSTRUAL, UNSCENTED - HEB Back to Search Results
Lot Number 5281243055 66 09:08
Medical Device Problem Codes Product Quality Problem (1506); Insufficient Device Problem Information (3190)
Health Effect - Clinical Code Foreign Body In Patient (2687)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
There is insufficient information to perform an investigation.
 
Event or Problem Description
String broke off so i had to dig to get it out- vagina [foreign body in reproductive tract] string broke off- tampon [device breakage] case narrative: consumer reported via e-mail that the string broke off.No serious injury reported.
 
Additional Manufacturer Narrative
Product investigation is in progress.
 
Event or Problem Description
String broke off so i had to dig to get it out- vagina [foreign body in reproductive tract] string broke off- tampon [device breakage].Case narrative: consumer reported via e-mail that the string broke off.No serious injury reported.
 
Additional Manufacturer Narrative
Cause was traced to manufacturing.Action plan is in place.
 
Event or Problem Description
String broke off so i had to dig to get it out- vagina [foreign body in reproductive tract] string broke off- tampon [device breakage].Probable manufacturing cause [manufacturing issue].Case narrative: consumer reported via e-mail that the string broke off.No serious injury reported.
 
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Brand Name
TAMPAXTAMPONSPEARLFULLSIZEREGNORUNSCNT36CT
Common Device Name
TAMPON, MENSTRUAL, UNSCENTED - HEB
Manufacturer (Section D)
TAMBRANDS MANUFACTURING, INC
2879 hotel rd
auburn 04210
Manufacturer (Section G)
TAMBRANDS MANUFACTURING, INC
2879 hotel rd
auburn 04210
Manufacturer Contact
manager affairs,feminine care
winton hill business center b
6280 center hill avenue
cincinnati 45224
MDR Report Key24304707
Report Number1219109-2026-00025
Device Sequence Number5314728
Product Code HEB
UDI-Device Identifier00073010004559
UDI-Public00073010004559
Combination Product (Y/N)Y
Initial Reporter CountryUS
PMA/510(K) Number
K081555
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Other
Type of Report Initial,Followup,Followup
Report Date (Section B) 03/25/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Lot Number5281243055 66 09:08
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer Not provided
Supplement Date Received by ManufacturerNot provided
Not provided
Initial Report FDA Received Date02/10/2026
Supplement Report FDA Received Date03/09/2026
04/02/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient Age46 YR
Patient SexFemale
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