FDA Adverse Event Malfunction Summary report: N

ID NOW COVID-19 ASSAY

MDR report key: 13934103 · Received March 28, 2022

Report

Report Number
1221359-2022-01453
Event Type
Malfunction
Date Received
March 28, 2022
Date of Event
March 7, 2022
Report Date
March 28, 2022
Manufacturer
ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
Product Code
QJR
UDI-DI
10811877011320
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SIMILAR PRODUCT TO 190-000. INVESTIGATION REPORT: TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS (B)(4), INC. ON RETAINED KIT LOT 1063046 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 191-000 / LOT 1063046, TEST BASE PART NUMBER 190-430 / LOT 1063046. THE LOT MET THE REQUIRED RELEASE SPECIFICATIONS. A REVIEW OF THE COMPLAINTS REPORTED AS FALSE POSITIVE AND/OR FALSE NEGATIVE PATIENT RESULTS (CONFIRMED AND UNCONFIRMED, CONFLICTING RESULTS) RELATED TO KIT LOT 1063046 SHOWED THAT THE COMPLAINT RATE IS (B)(4). ABBOTT DIAGNOSTICS (B)(4), INC. WAS UNABLE TO DETERMINE THE EXACT ROOT CAUSE OF THE REPORTED ISSUE.

Description of Event or Problem · 0

CUSTOMER REPORTED A FALSE POSITIVE RESULT WITH THE ID NOW COVID-19 ASSAY PERFORMED ON (B)(6) 2022. CONFIRMATION PCR TESTING WAS PERFORMED WHICH GENERATED A NEGATIVE RESULT (DATE, PLATFORM AND SAMPLE TYPE UNKNOWN). CUSTOMER INDICATED THAT THE PCR RESULT SHOWED PATIENT'S VIRAL LOAD AT 39. NO FURTHER INFORMATION REGARDING SYMPTOMS, HEALTH IMPACT OR OUTCOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
30581 ID NOW COVID-19 ASSAY MOLECULAR IVD FOR ID NOW COVID-19 QJR ABBOTT DIAGNOSTICS SCARBOROUGH, INC. 1063046 10811877011320

Patients

Seq Age Sex Outcome Treatment
1 Unknown