FDA Adverse Event Malfunction Summary report: N

BD RAPID DETECTION OF SARS-COV-2 VERITOR

MDR report key: 10803461 · Received November 6, 2020

Report

Report Number
1119779-2020-00929
Event Type
Malfunction
Date Received
November 6, 2020
Date of Event
October 26, 2020
Report Date
September 8, 2021
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
QKP
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: THIS MEMO IS TO SUMMARIZE THE INVESTIGATION RESULTS REGARDING YOUR COMPLAINTS THAT ALLEGES FALSE NEGATIVE OR DISCREPANT RESULTS WHEN USING KIT BD VERITOR FOR RAPID DETECTION OF SARS-COV-2 (MN# (B)(4). ), BATCH NUMBER UNKNOWN. 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. THE INVESTIGATION COULD NOT BE PERFORMED AS NO BATCH NUMBER WAS 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.

Description of Event or Problem · 0

IT WAS REPORTED WHILE TESTING FOR SARS COV-2 POTENTIAL FALSE NEGATIVE RESULTS WERE OBTAINED. THERE WAS NO FORM OF REPEAT OR CONFIRMATORY TESTING REPORTED BY THE CUSTOMER. BD HAS ATTEMPTED TO CONTACT THE CUSTOMER MULTIPLE TIMES FOR ADDITIONAL INFORMATION REGARDING THIS EVENT WITH NO RESPONSE FROM THE CUSTOMER AT THIS TIME. THERE WAS NO INDICATION THAT RESULTS WERE REPORTED OUR OR ANY REPORT OF PATIENT IMPACT. (B)(4)

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

IT WAS REPORTED WHILE TESTING FOR SARS COV-2 POTENTIAL FALSE NEGATIVE RESULTS WERE OBTAINED. THERE WAS NO FORM OF REPEAT OR CONFIRMATORY TESTING REPORTED BY THE CUSTOMER. BD HAS ATTEMPTED TO CONTACT THE CUSTOMER MULTIPLE TIMES FOR ADDITIONAL INFORMATION REGARDING THIS EVENT WITH NO RESPONSE FROM THE CUSTOMER AT THIS TIME. THERE WAS NO INDICATION THAT RESULTS WERE REPORTED OUR OR ANY REPORT OF PATIENT IMPACT. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1269474 BD RAPID DETECTION OF SARS-COV-2 VERITOR CORONAVIRUS ANTIGEN DETECTION SYSTEM QKP BECTON, DICKINSON & CO. (SPARKS) UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1