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The revision updates and reformats the information in this
alert.


TYPE OF ALERT: Automatic Detention

PRODUCT      : Menstrual Sponges

PRODUCT CODE : 80----

HARMONIZED
CODE         : N/A

PROBLEM      : Inadequate directions for use (DRDW)
               Lack of premarket approval (PMA)(DVUU)

PAC FOR
COLLECTION   : 82002

COUNTRY      : All

MANUFACTURER/
SHIPPER      : All

MANUFACTURER/
SHIPPER I.D.#: N/A


IMPORTER'S
I.D. #       : N/A

CHARGES      :

               "The article is subject to refusal of admission
pursuant to                  Section 801(a)(3) in that the device
appears to be a Class                   III device and does not
appear to have in effect an approved                 application
for premarket approval pursuant to Section 515 of
the Act, or an exemption pursuant Section 520 (g)
          [Adulteration, Section 501(f)(1)]."

                                           and/or

               "The article is subject to refusal of admission
pursuant to                  Section 801(a)(3) in that it appears
to be a device, the                     label of which fails to
bear adequate directions for use                     [Misbranding,
Section 502(f)(1)]."

RECOMMENDING
OFFICE       : CDRH/Office of Compliance, HFZ-323

REASON FOR
ALERT        : In 1980 an apparent link between Toxic Shock
               Syndrome, and the use of tampons prompted interest
               in alternative methods of menstrual care.  One of
               these is the use of sponges which are cut into
               appropriate shapes and sizes then used as a tampon.
               Some labeling advocates the reuse of the sponges
               simply by removing the device and washing it out.

INSTRUCTIONS : Automatically detain shipments of sponges labeled
               for use as tampons, or suspect for use in menstrual
               care, but lack premarket approval and/or fail to
               bear adequate directions for use.  Shipments of
               sponges found in compliance should be released.

               Intended uses of unlabeled sponges should be
determined by                   contacting the consignee.
Shipments of sponges for cosmetic                 or other non-
medical use should not be detained.

PRIORITIZATION
GUIDANCE     : N/A

FOI          : No purging is required

KEYWORDS     : Menstruation, Sponges, PMA, Menstrual Care,
               Menstrual
               Sponges, Tampons

PREPARED BY  : Linda A. Wisniowski, DIOP, 301-443-6553.