| Brand Name | TampaxTamponsRadiantRadiantRegNorUnScnt42CT |
| 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 Key | 25714992 |
| Report Number | 1219109-2026-00171 |
| Device Sequence Number | 5118425 |
| Product Code |
HEB
|
| UDI-Device Identifier | 00073010716292 |
| UDI-Public | (01)00073010716292 |
| Combination Product (Y/N) | Y |
| Initial Reporter Country | US |
| PMA/510(K) Number | K110669 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Consumer |
| Type of Report
| Initial,Followup,Followup,Followup |
| Report Date (Section B) |
08/28/2026 |
| 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 Number | 60662430236722:31 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 07/14/2026 |
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | Not provided |
| Supplement Date Received by Manufacturer | Not provided 07/16/2026 08/07/2026
|
| Initial Report FDA Received Date | 07/06/2026 |
| Supplement Report FDA Received Date | 07/16/2026 08/06/2026 08/31/2026
|
| 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 |
Unknown
|
| Patient Sequence Number | 1 |
| Patient Age | 24 YR |
| Patient Sex | Female |