FDA Adverse Event Injury Summary report: N

QIASTAT-DX RESPIRATORY SARS-COV-2 PANEL

MDR report key: 11237520 · Received January 27, 2021

Report

Report Number
3004013603-2021-00001
Event Type
Injury
Date Received
January 27, 2021
Date of Event
January 4, 2021
Report Date
January 27, 2021
Manufacturer
QIAGEN GMBH
Product Code
QJR
PMA / PMN Number
EUA200075
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

NO INJURY WAS REPORTED. QIAGEN IS REPORTING THIS INCIDENT IN AN ABUNDANCE OF CAUTION AND IN ACCORDANCE WITH THE CONDITIONS OF APPROVAL UNDER THE EMERGENCY USE AUTHORIZATION FOR THIS PRODUCT.

Description of Event or Problem · 1

A SUSPECTED FALSE NEGATIVE RESULT FOR THE SARS-COV-2 TARGET OBTAINED FOR 1 PATIENT SAMPLE WITH THE QIASTAT-DX RESPIRATORY SARS-COV-2 PANEL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
136525 QIASTAT-DX RESPIRATORY SARS-COV-2 PANEL REAGENTS, 2019-NOVEL CORONAVIRUS NUCLEIC ACID QJR QIAGEN GMBH 166032129

Patients

Seq Age Sex Outcome Treatment
1 Other