FDA Adverse Event Malfunction Summary report: N

BD RAPID DETECTION OF SARS-COV-2 VERITOR

MDR report key: 11809098 · Received May 11, 2021

Report

Report Number
1119779-2021-00813
Event Type
Malfunction
Date Received
May 11, 2021
Date of Event
November 12, 2020
Report Date
December 6, 2021
Manufacturer
BECTON, DICKINSON & CO. (SPARKS)
Product Code
QKP
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H6: INVESTIGATION SUMMARY THIS STATEMENT IS TO SUMMARIZE THE INVESTIGATION RESULTS REGARDING YOUR COMPLAINT THAT ALLEGES INVALID RESULT WHEN USING KIT RAPID DETECTION OF SARS-COV-2 VERITOR (MATERIAL # 256082), BATCH NUMBER 0310425. BD QUALITY PERFORMS A SYSTEMATIC APPROACH TO INVESTIGATE INVALID RESULT COMPLAINTS. THIS APPROACH INVOLVES REVIEW OF MANUFACTURING BATCH HISTORY RECORDS, TESTING OF RETENTION SAMPLES, AND TESTING OF CUSTOMER RETURNED SAMPLES, IF APPLICABLE. A BHR REVIEW WAS PERFORMED AND NO ISSUES WERE IDENTIFIED. RETENTION AND RETURNED SAMPLE ANALYSIS COULD NOT BE PERFORMED. A TREND FOR FALSE POSITIVE RESULTS WAS IDENTIFIED AND BD HAS INITIATED CAPA (CORRECTIVE AND PREVENTIVE ACTION) # 1878253 TO FURTHER INVESTIGATE.

Additional Manufacturer Narrative · 0

MEDICAL DEVICE EXPIRATION DATE: UNKNOWN DEVICE MANUFACTURE DATE: UNKNOWN A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED, BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 0

IT WAS REPORTED WHILE TESTING FOR SARS COV-2 A FALSE POSITIVE RESULT WAS OBTAINED. A REPEAT TEST WAS PERFORMED USING PCR AND THE RESULT WAS NEGATIVE. THERE WAS NO INDICATION THAT RESULTS WERE REPORTED OUT AND THERE WAS NO REPORT OF PATIENT IMPACT. EUA#: EUA(B)(4). THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: " IT WAS REPORTED THAT CUSTOMER IS REPORTING 1 FP (B)(6) ,2020 REPEAT. BOTH HAD PCR TWO LOT NUMBERS ORDERED EARLY, HAD SOME INCONSISTENT RESULTS, DOING RAPID COVID BACKING UP WITH PCR, RAPID WAS POSITIVE AND PCR WAS NEGATIVE, STOPPED USING VERITOR FOR COVID DUE TO CONCERNS.SYMPTOMATIC PATIENT TESTED POSITIVE ON VERITOR AND NEGATIVE ON PCR. SEVERAL TIMES THE RAPID COVID TEST WAS POSITIVE AND PCR WAS NEGATIVE SO PHYSICIANS STOPPED USING THE VERITOR COVID TEST. "

Description of Event or Problem · 0

IT WAS REPORTED WHILE TESTING FOR SARS COV-2 A FALSE POSITIVE RESULT WAS OBTAINED. A REPEAT TEST WAS PERFORMED USING PCR AND THE RESULT WAS NEGATIVE. THERE WAS NO INDICATION THAT RESULTS WERE REPORTED OUT AND THERE WAS NO REPORT OF PATIENT IMPACT. (B)(4) THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: " IT WAS REPORTED THAT CUSTOMER IS REPORTING 1 FP (B)(6) 2020 AND (B)(6) 2020 REPEAT. BOTH HAD PCR TWO LOT NUMBERS ORDERED EARLY, HAD SOME INCONSISTENT RESULTS, DOING RAPID COVID BACKING UP WITH PCR, RAPID WAS POSITIVE AND PCR WAS NEGATIVE, STOPPED USING VERITOR FOR COVID DUE TO CONCERNS.SYMPTOMATIC PATIENT TESTED POSITIVE ON VERITOR AND NEGATIVE ON PCR. SEVERAL TIMES THE RAPID COVID TEST WAS POSITIVE AND PCR WAS NEGATIVE SO PHYSICIANS STOPPED USING THE VERITOR COVID TEST. "

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
703391 BD RAPID DETECTION OF SARS-COV-2 VERITOR CORONAVIRUS ANTIGEN DETECTION SYSTEM QKP BECTON, DICKINSON & CO. (SPARKS) 0310425

Patients

Seq Age Sex Outcome Treatment
1 Unknown