FDA Adverse Event Malfunction Summary report: N

INTELISWAB COVID-19 RAPID TEST

MDR report key: 13250568 · Received January 13, 2022

Report

Report Number
3004142665-2022-00008
Event Type
Malfunction
Date Received
January 13, 2022
Date of Event
January 6, 2022
Report Date
January 13, 2022
Manufacturer
ORASURE TECHNOLOGIES INC.
Product Code
QKP
PMA / PMN Number
EUA210378
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(6) , REGULATORY MANAGER AT ORASURE TECHNOLOGIES INC., RECEIVED AN EMAIL FROM (B)(6) PH.D, STAFF FELLOW WITH THE FDA REQUESTING THAT ALL FALSE POSITIVE CASES OF INTELISWAB BE REPORTED TO THE FDA AS AN MDR IN ACCORDANCE WITH 21 CFR PART 803. PREVIOUSLY ORASURE TECHNOLOGIES WAS NOT SUBMITTING FP CASES AS AN MDR AS IT WAS A NON-REPORTABLE EVENT, THEREFORE PDR- 22-0002 HAS BEEN OPENED FOR PAST AND FUTURE FP CASES.

Additional Manufacturer Narrative · 0

(B)(6) RECEIVED AN EMAIL FROM (B)(6) PH.D, STAFF FELLOW WITH THE FDA REQUESTING THAT ALL FALSE POSITIVE CASES OF INTELISWAB BE REPORTED TO THE FDA AS AN MDR IN ACCORDANCE WITH 21 CFR PART 803. PREVIOUSLY ORASURE TECHNOLOGIES WAS NOT SUBMITTING FP CASES AS AN MDR AS IT WAS A NON-REPORTABLE EVENT, THEREFORE (B)(4) HAS BEEN OPENED FOR PAST AND FUTURE FP CASES.

Additional Manufacturer Narrative · 0

(B)(4), STAFF FELLOW WITH THE FDA REQUESTING THAT ALL FALSE POSITIVE CASES OF INTELISWAB BE REPORTED TO THE FDA AS AN MDR IN ACCORDANCE WITH 21 CFR PART 803. PREVIOUSLY ORASURE TECHNOLOGIES WAS NOT SUBMITTING FP CASES AS AN MDR AS IT WAS A NON-REPORTABLE EVENT, THEREFORE (B)(4) HAS BEEN OPENED FOR PAST AND FUTURE FP CASES. (B)(6) 2022- CONSUMER CALLED LEFT AN INQUIRY ON INTELISWAB.COM, AND THE CALL CENTER FOLLOWED UP WITH THE CONSUMER TO OBTAIN MORE INFORMATION REGARDING THE FALSE POSITIVE. THE INCIDENT WILL BE CLOSED INTERNALLY.

Description of Event or Problem · 0

CONSUMER LEFT AN INQUIRY ON INTELISWAB.COM STATING THEY RECEIVED A FALSE POSITIVE RESULT USING INTELISWAB. CONSUMER HAD PERFORMED ANOTHER RAPID TEST, AS WELL AS HAD A PCR TEST PERFORMED THE SAME DAY AS RECEIVING THE POSITIVE INTELISWAB RESULT, AND BOTH RAPID AND PCR TEST WERE NEGATIVE. INTELISWAB.COM INQUIRY HELLO. I AM REPORTING A POTENTIAL FALSE POSITIVE RECEIVED USING INTELLISWAB COVID 19 PART NO. 300-3516, LOT 0006688590. PERSON HAD MILD SYMPTOMS (WATERY EYES, THROAT ACHE, BODY ACHE, CONGESTED NOSE, NO FEVER, NO LOSS OF TASTE) BUT TESTED NEGATIVE ON THE SAME DAY WITH A SECOND RAPID TEST (GENBODY) AND PCR.

Description of Event or Problem · 0

CONSUMER LEFT AN INQUIRY ON INTELISWAB.COM STATING THEY RECEIVED A FALSE POSITIVE RESULT USING INTELISWAB. CONSUMER HAD PERFORMED ANOTHER RAPID TEST, AS WELL AS HAD A PCR TEST PERFORMED THE SAME DAY AS RECEIVING THE POSITIVE INTELISWAB RESULT, AND BOTH RAPID AND PCR TEST WERE NEGATIVE. INTELISWAB.COM INQUIRY HELLO. I AM REPORTING A POTENTIAL FALSE POSITIVE RECEIVED USING INTELLISWAB COVID 19 PART NO. 300-3516, LOT 0006688590. PERSON HAD MILD SYMPTOMS (WATERY EYES, THROAT ACHE, BODY ACHE, CONGESTED NOSE, NO FEVER, NO LOSS OF TASTE) BUT TESTED NEGATIVE ON THE SAME DAY WITH A SECOND RAPID TEST (GENBODY) AND PCR.

Description of Event or Problem · 0

CONSUMER LEFT AN INQUIRY ON INTELISWAB.COM STATING THEY RECEIVED A FALSE POSITIVE RESULT USING INTELISWAB. CONSUMER HAD PERFORMED ANOTHER RAPID TEST, AS WELL AS HAD A PCR TEST PERFORMED THE SAME DAY AS RECEIVING THE POSITIVE INTELISWAB RESULT, AND BOTH RAPID AND PCR TEST WERE NEGATIVE. INTELISWAB.COM INQUIRY HELLO. I AM REPORTING A POTENTIAL FALSE POSITIVE RECEIVED USING INTELLISWAB COVID 19 PART NO. 300-3516, LOT 0006688590. PERSON HAD MILD SYMPTOMS (WATERY EYES, THROAT ACHE, BODY ACHE, CONGESTED NOSE, NO FEVER, NO LOSS OF TASTE) BUT TESTED NEGATIVE ON THE SAME DAY WITH A SECOND RAPID TEST (GENBODY) AND PCR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1674114 INTELISWAB COVID-19 RAPID TEST INTELISWAB QKP ORASURE TECHNOLOGIES INC. 0006688590

Patients

Seq Age Sex Outcome Treatment
1 21 YR Prefer Not To Disclose