FDA Adverse Event Malfunction Summary report: N

ID NOW COVID-19

MDR report key: 10439447 · Received August 21, 2020

Report

Report Number
1221359-2020-00243
Event Type
Malfunction
Date Received
August 21, 2020
Date of Event
July 31, 2020
Report Date
August 20, 2020
Manufacturer
ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
Product Code
QJR
UDI-DI
10811877011269
PMA / PMN Number
EUA2000074
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS (B)(4), INC. ON RETAINED KIT LOT M122387 WITH INTERNAL POSITIVE QUALITY CONTROL SAMPLES AND NEGATIVE QUALITY CONTROL SWABS. ALL TEST RESULTS WERE VALID AND PERFORMED AS EXPECTED. ADDITIONALLY, THE MANUFACTURING BATCH RECORDS AND QUALITY CONTROL RELEASE TESTING FOR KIT PART NUMBER 190-000 / LOT M122387 AND TEST BASE PART NUMBER 190-430 / LOT M122387 WERE REVIEWED. THIS LOT MET THE REQUIRED RELEASE SPECIFICATIONS. A REVIEW OF THE COMPLAINTS REPORTED AS FALSE NEGATIVE PATIENT RESULTS (CONFIRMED AND UNCONFIRMED, CONFLICTING RESULTS) RELATED TO KIT LOT M122387 SHOWED THAT THE COMPLAINT RATE IS (B)(4). ABBOTT DIAGNOSTICS (B)(4), INC. WAS UNABLE TO DETERMINE THE EXACT ROOT CAUSE OF THE REPORTED ISSUE. THE AVAILABLE EVIDENCE SUGGESTS THAT THIS DEVICE LOT IS PERFORMING WITHIN THE STATEMENTS MADE WITHIN PACKAGE INSERT RELATED TO % TEST AGREEMENT WITH THE EXPECTED RESULTS BY SAMPLE CONCENTRATION.

Description of Event or Problem · 1

A CUSTOMER REPORTED A FALSE NEGATIVE RESULT ON A DIRECT COPAN NASOPHARYNGEAL (NP) FLOCKED SWAB WITH THE ID NOW COVID-19 ASSAY PERFORMED ON (B)(6) 2020. NO ADDITIONAL TESTS WERE PERFORMED USING THE ID NOW COVID-19 ASSAY. CONFIRMATION TESTING ON AN UNKNOWN SAMPLE AND SWAB TYPE WITH THE HOLOGIC APTIMA SARS-COV-2 ASSAY GENERATED POSITIVE RESULTS. CONFIRMATION SAMPLE COLLECTION OCCURRED (B)(6) 2020 AND RESULTS WERE REPORTED (B)(6) 2020. THE CUSTOMER CONFIRMED THERE WAS NO DEATH OR SERIOUS INJURY BASED ON THE ID NOW COVID-19 TEST RESULT. THE PATIENT'S TREATMENT WAS NOT IMPACTED AND/OR DELAYED. HOWEVER, THE CUSTOMER REPORTED THAT THE PATIENT WAS DISCHARGED FROM THE HOSPITAL AFTER THE NEGATIVE ID NOW RESULTS AND PRIOR TO THE RECEIPT OF THE CONFIRMATION POSITIVE RESULTS. THE PATIENT SYMPTOMS INCLUDED A FEVER FOR THREE DAYS (NOT FURTHER SPECIFIED). ON (B)(6) 2020, THE PATIENT'S TEMPERATURE WAS 99.1 FAHRENHEIT. PATIENT TREATMENTS AND OUTCOME WERE NOT PROVIDED. THE ID NOW COVID-19 PRODUCT INSERT INDICATES THAT NEGATIVE RESULTS SHOULD BE TREATED AS PRESUMPTIVE AND TESTED WITH AN ALTERNATIVE FDA AUTHORIZED MOLECULAR ASSAY, IF NECESSARY FOR CLINICAL MANAGEMENT, INCLUDING INFECTION CONTROL. THE PI STATES NEGATIVE RESULTS DO NOT PRECLUDE SARS-COV-2 INFECTION AND SHOULD NOT BE USED AS THE SOLE BASIS FOR PATIENT MANAGEMENT DECISIONS. NEGATIVE RESULTS MUST BE COMBINED WITH CLINICAL OBSERVATIONS, PATIENT HISTORY, AND EPIDEMIOLOGICAL INFORMATION. ADDITIONALLY, THE ID NOW COVID-19 PRODUCT INSERT INCLUDES A LIMITATION THAT FALSE NEGATIVE RESULTS MAY OCCUR IF A SPECIMEN IS IMPROPERLY COLLECTED, TRANSPORTED OR HANDLED. FALSE NEGATIVE RESULTS MAY ALSO OCCUR IF AMPLIFICATION INHIBITORS ARE PRESENT IN THE SPECIMEN OR IF INADEQUATE LEVELS OF VIRUSES ARE PRESENT IN THE SPECIMEN. DUE TO THE RISK OF A FALSE NEGATIVE RESULT POTENTIALLY LEADING TO NO OR DELAYED TREATMENT, THIS EVENT SHALL BE CONSIDERED REPORTABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
903181 ID NOW COVID-19 MOLECULAR IVD FOR ID NOW COVID-19 QJR ABBOTT DIAGNOSTICS SCARBOROUGH, INC. M122387 10811877011269

Patients

Seq Age Sex Outcome Treatment
1 46 YR