BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ID NOW COVID-19 ASSAY

    MDR report key: 11737023 · Received April 28, 2021

    Report

    Report Number
    1221359-2021-01265
    Event Type
    Malfunction
    Date Received
    April 28, 2021
    Date of Event
    February 17, 2021
    Report Date
    July 23, 2021
    Manufacturer
    ABBOTT DIAGNOSTICS SCARBOROUGH, INC
    Product Code
    QJR
    UDI-DI
    10811877011269
    PMA / PMN Number
    EUA2000074
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    ADDITIONAL INFORMATION: H10: TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ON RETAINED KIT LOT M141384 WITH INTERNAL POSITIVE QUALITY CONTROL SAMPLES AND NEGATIVE QUALITY CONTROL SWABS. ALL TEST RESULTS WERE VALID AND PERFORMED AS EXPECTED. ADDITIONALLY, THE MANUFACTURING RECORDS AND QUALITY CONTROL RELEASE TESTING WAS REVIEWED FOR TEST KIT PART NUMBER 190-000 / LOT: M141384 , TEST BASE PART NUMBER 190-430 / LOT: M141384 . THE LOT MET THE REQUIRED RELEASE SPECIFICATIONS. (B)(4). ABBOTT DIAGNOSTICS SCARBOROUGH WAS UNABLE TO DETERMINE THE EXACT ROOT CAUSE OF THE REPORTED ISSUE AS THE LOGFILES WERE NOT PROVIDED.

    Additional Manufacturer Narrative · 1

    THIS INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE PROVIDED. REFERENCE MFR. REPORT: 1221359-2021-01261, 1221359-2021-01263, 1221359-2021-01262, 1221359-2021-01264.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED 8 FALSE NEGATIVE RESULTS WITH THE ID NOW COVID-19 ASSAY (DIFFERENT LOT NUMBERS). THIS MFR. ADDRESSES LOT 5 OF 5. THE CUSTOMER REPORTED A FALSE NEGATIVE RESULT WITH THE ID NOW COVID-19 ASSAY COLLECTED ON (B)(6) 2021 ON A NASAL KITTED SWAB. CONFIRMATION TESTING WAS COLLECTED ON THE SAME DAY WITH CORE LAB AND GENERATED POSITIVE RESULTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    637441 ID NOW COVID-19 ASSAY MOLECULAR IVD FOR ID NOW COVID-19 QJR ABBOTT DIAGNOSTICS SCARBOROUGH, INC M141384 10811877011269

    Patients

    Seq Age Sex Outcome Treatment
    1