FDA Adverse Event Malfunction Summary report: N

BD RAPID DETECTION OF SARS-COV-2 VERITOR

MDR report key: 10759227 · Received October 29, 2020

Report

Report Number
1119779-2020-00842
Event Type
Malfunction
Date Received
October 29, 2020
Date of Event
September 12, 2020
Report Date
October 18, 2021
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
QKP
PMA / PMN Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NV, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THE FOLLOWING INFORMATION HAS BEEN UPDATED: H.6. FDA PATIENT PROBLEM CODE(S): 1930.

Additional Manufacturer Narrative · 0

H6: INVESTIGATION SUMMARY: THIS STATEMENT IS TO SUMMARIZE THE INVESTIGATION RESULTS REGARDING THE COMPLAINT THAT ALLEGES FALSE NEGATIVE OR DISCREPANT RESULTS WHEN USING KIT BD VERITOR FOR RAPID DETECTION OF SARS-COV-2 (MN# (B)(4)), BATCH NUMBER 0198093 BD QUALITY PERFORMS A SYSTEMATIC APPROACH TO INVESTIGATE FALSE NEGATIVE COMPLAINTS. THIS APPROACH INVOLVES REVIEW OF MANUFACTURING BATCH HISTORY RECORDS, TESTING OF RETENTION SAMPLES, AND TESTING OF CUSTOMER RETURNED SAMPLES IF APPLICABLE. AN INVESTIGATION AND TESTING WERE PERFORMED ON THE BATCH NUMBER PROVIDED. THE COMPLAINT WAS UNABLE TO BE CONFIRMED. BD QUALITY WILL CONTINUE TO MONITOR FOR TRENDS. THERE WERE NO CORRECTIVE ACTIONS TAKEN AT THIS TIME. H3 OTHER TEXT : SEE H10.

Description of Event or Problem · 0

IT WAS REPORTED WHILE TESTING FOR SARS-COV-2 A FALSE NEGATIVE RESULT WAS OBTAINED. THE PATIENT WAS EXPERIENCING VOMITING, A SAMPLE WAS COLLECTED, AND THE RESULT WAS NEGATIVE. THE PATIENTS CONDITION WORSENED AND THEY WERE TRANSFERRED TO A HOSPITAL. THE PATIENT TESTED POSITIVE FOR COVID VIA PCR A FEW DAYS AFTER ADMISSION. THERE WAS NO FURTHER INFORMATION PROVIDED FROM THE CUSTOMER. (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED WHILE TESTING FOR SARS-COV-2 A FALSE NEGATIVE RESULT WAS OBTAINED. THE PATIENT WAS EXPERIENCING VOMITING, A SAMPLE WAS COLLECTED, AND THE RESULT WAS NEGATIVE. THE PATIENTS CONDITION WORSENED AND THEY WERE TRANSFERRED TO A HOSPITAL. THE PATIENT TESTED POSITIVE FOR COVID VIA PCR A FEW DAYS AFTER ADMISSION. THERE WAS NO FURTHER INFORMATION PROVIDED FROM THE CUSTOMER. (B)(4).

Additional Manufacturer Narrative · 1

A DEVICE EVALUATION IS ANTICIPATED, BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED WHILE TESTING FOR SARS-COV-2 A FALSE NEGATIVE RESULT WAS OBTAINED. THE PATIENT WAS EXPERIENCING VOMITING, A SAMPLE WAS COLLECTED, AND THE RESULT WAS NEGATIVE. THE PATIENTS CONDITION WORSENED AND THEY WERE TRANSFERRED TO A HOSPITAL. THE PATIENT TESTED POSITIVE FOR COVID VIA PCR A FEW DAYS AFTER ADMISSION. THERE WAS NO FURTHER INFORMATION PROVIDED FROM THE CUSTOMER. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1219193 BD RAPID DETECTION OF SARS-COV-2 VERITOR CORONAVIRUS ANTIGEN DETECTION SYSTEM QKP BECTON, DICKINSON & CO. (SPARKS) 0198093

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention