FDA Adverse Event Malfunction Summary report: N

ID NOW COVID-19 ASSAY

MDR report key: 12872945 · Received November 24, 2021

Report

Report Number
1221359-2021-03595
Event Type
Malfunction
Date Received
November 24, 2021
Report Date
November 24, 2021
Product Code
QJR
UDI-DI
04571226475027
PMA / PMN Number
EUA2000074
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS (B)(4) ON RETAINED KIT LOT M162489 WITH INTERNAL POSITIVE QUALITY CONTROL SAMPLES AND NEGATIVE QUALITY CONTROL SWABS. ALL TEST RESULTS WERE VALID AND PERFORMED AS EXPECTED. ADDITIONALLY, MANUFACTURING RECORDS AND QUALITY CONTROL RELEASE TESTING WAS REVIEWED FOR KIT PART NUMBER 190-000 / LOT M162489. THE LOT MET THE REQUIRED RELEASE SPECIFICATIONS. A REVIEW OF THE COMPLAINTS REPORTED AS FALSE POSITIVE PATIENT RESULTS (CONFIRMED AND UNCONFIRMED, CONFLICTING RESULTS) RELATED TO KIT LOT M162489 SHOWED THAT THE COMPLAINT RATE IS (B)(4). ABBOTT DIAGNOSTICS (B)(4) WAS UNABLE TO DETERMINE THE EXACT ROOT CAUSE OF THE REPORTED ISSUE AS THE LOGFILES WERE NOT PROVIDED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSE POSITIVE RESULTS WITH THE ID NOW COVID-19 FOR AN UNSPECIFIED NUMBER OF PATIENTS PERFORMED ON AN UNSPECIFIED DATE. CUSTOMER STATES ISSUE HAS BEEN OCCURRING SINCE NEW LOT WAS IMPLEMENTED THE DAY PRIOR. CONFIRMATION TESTING WAS PERFORMED WITH PCR. EXACT RESULTS NOT PROVIDED. NO ADDITIONAL PATIENT INFORMATION, INCLUDING TREATMENT AND OUTCOME, WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1769993 ID NOW COVID-19 ASSAY MOLECULAR IVD FOR ID NOW COVID-19 QJR M162489 04571226475027

Patients

Seq Age Sex Outcome Treatment
1 Unknown