FDA Adverse Event Malfunction Summary report: N

LUMIRADX

MDR report key: 11595116 · Received March 30, 2021

Report

Report Number
MW5100393
Event Type
Malfunction
Date Received
March 30, 2021
Date of Event
March 22, 2021
Report Date
March 28, 2021
Manufacturer
LUMIRADX
Product Code
QKP
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NC, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

I RECENTLY HAD A LUMIRADX SARSCOV2 AG TEST PERFORMED AT (B)(6). THE TEST CAME BACK POSITIVE. I SUBSEQUENTLY HAD TWO SARS-COV-2, NAA PCR (PIXEL - (B)(6)) TESTS PERFORMED ON DIFFERENT DAYS ((B)(6)) WHICH GAVE A NEGATIVE RESULT. ADDITIONALLY, I HAD A RT-PCR TEST (ABBOTT LABS ID NOW) PERFORMED ON (B)(6) 2021 WHICH IS STILL PENDING. I BELIEVE THE POSITIVE GIVEN BY LUMIRADX WAS LIKELY A FALSE POSITIVE. I SAW THERE WAS A FDA CLASS 2 MEDICAL DEVICE RECALL RECENTLY ISSUED FOR DEFECTIVE TEST STRIPS, BUT THE LISTED LOT NUMBERS WERE NOT THE LOT NUMBER MY TEST CAME FROM. MY LOT NUMBER WAS: 6,000,174 WITH EXPIRATION OF 6/9/2021. MY WIFE ALSO HAD ALL OF THE SAME TESTS PERFORMED ON THE SAME DAYS AND HAD ALL OF THE SAME RESULTS. HER RESULTS WERE AS FOLLOWS: (B)(6) 2021 - LUMIRADX SARSCOV2 AG TEST - POSITIVE (LOT NUMBER WAS: 6,000,174 WITH EXPIRATION OF 6/9/2021) (B)(6) 2021 - SARS-COV-2, NAA PCR (PIXEL - (B)(6)) - NEGATIVE (B)(6) 2021 - SARS-COV-2, NAA PCR (PIXEL - (B)(6)) - NEGATIVE (B)(6) 2021 - RT-PCR TEST (ABBOTT LABS ID NOW) - NEGATIVE. FDA SAFETY REPORT ID # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
490089 LUMIRADX CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM QKP LUMIRADX 6,000,174
490093 LUMIRADX CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM QKP LUMIRADX 6,000,174

Patients

Seq Age Sex Outcome Treatment
1 34 YR Other