BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BINAXNOW COVID-19 AG CARD

    MDR report key: 14136350 · Received April 18, 2022

    Report

    Report Number
    1221359-2022-01907
    Event Type
    Malfunction
    Date Received
    April 18, 2022
    Date of Event
    October 30, 2021
    Report Date
    April 18, 2022
    Manufacturer
    ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
    Product Code
    QKP
    UDI-DI
    10811877011290
    PMA / PMN Number
    EUA202537
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    INVESTIGATION REPORT: ABBOTT DIAGNOSTICS SCARBOROUGH, INC. PERFORMED REVIEW OF THE MANUFACTURING RECORDS AND QUALITY CONTROL RELEASE TESTING FOR TEST KIT PART NUMBER 195-000 / LOT 138298 AND DEVICE PART NUMBER 195-430H / LOT 134314A. THE LOT MET THE REQUIRED RELEASE SPECIFICATIONS. (B)(4). ABBOTT DIAGNOSTICS SCARBOROUGH, INC. WAS UNABLE TO DETERMINE THE EXACT ROOT CAUSE OF THE REPORTED ISSUE. RELATED MFR REPORT NUMBERS: 1221359-2022-01898 THROUGH 1221359-2022-01908.

    Description of Event or Problem · 0

    THE CUSTOMER REPORTED ELEVEN (11) FALSE POSITIVE RESULTS WITH THE BINAXNOW COVID-19 AG CARD ON MULTIPLE DATES IN OCTOBER, 2021 ON KITTED NASAL SWABS. THIS REPORT IS FOR PATIENT TEN (10) OF ELEVEN (11) AND LOT 138298 (TOTAL QUANTITY 1). THE PATIENT WAS TESTED WITH THE BINAXNOW COVID-19 AG CARD ON (B)(6) 2021 WHICH GENERATED A POSITIVE RESULT. CONFIRMATION PCR TESTING WAS PERFORMED THE SAME DAY (PLATFORM:PERKINELMER) ON A NASAL WHICH GENERATED A NEGATIVE RESULT. THE PATIENT WAS ASYMPTOMATIC. NO SERIOUS INJURY, MEDICAL INTERVENTION OR TREATMENT DECISIONS OCCURRED AS A RESULT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    819411 BINAXNOW COVID-19 AG CARD LATERAL FLOW IMMUNOASSAY IVD OF COVID-19 QKP ABBOTT DIAGNOSTICS SCARBOROUGH, INC. 138298 10811877011290

    Patients

    Seq Age Sex Outcome Treatment
    1 38 YR Female