FDA Adverse Event Malfunction Summary report: N

BINAXNOW COVID-19 ANTIGEN SELF-TEST

MDR report key: 14720267 · Received June 16, 2022

Report

Report Number
1221359-2022-00380
Event Type
Malfunction
Date Received
June 16, 2022
Date of Event
December 20, 2021
Report Date
June 16, 2022
Manufacturer
ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
Product Code
QKP
UDI-DI
00811877011408
PMA / PMN Number
EUA210264
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS (B)(4). ON RETAINED KIT LOT 161332 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 195-160 / LOT 161332 AND TEST BASE PART NUMBER 195-430WL / LOT 156113. THE LOT MET THE REQUIRED RELEASE SPECIFICATIONS. A REVIEW OF THE COMPLAINTS REPORTED AS FALSE NEGATIVE PATIENT RESULTS (CONFIRMED AND UNCONFIRMED, CONFLICTING RESULTS) RELATED TO KIT LOT 161332 SHOWED THAT THE COMPLAINT RATE IS (B)(4). IN CONCLUSION, ABBOTT DIAGNOSTICS SCARBOROUGH WAS UNABLE TO DETERMINE THE EXACT ROOT CAUSE OF THE REPORTED ISSUE; HOWEVER, IT COULD POSSIBLY BE RELATED TO ISSUES INCLUDING THE SELF-TEST USER PERFORMANCE, INTERPRETATION OF THE RESULT, OR THE SPECIFIC PATIENT SAMPLE.

Description of Event or Problem · 0

THE CUSTOMER REPORTED A UNCONFIRMED FALSE NEGATIVE RESULT WITH THE BINAXNOW COVID-19 ANTIGEN SELF-TEST PERFORMED ON (B)(6) 2021. THE CONSUMER HAD COVID-19 TESTING PERFORMED AT A "CENTER" ON (B)(6) 2021 WHICH GENERATED A POSITIVE RESULT (CONSUMER UNSURE OF THE PLATFORM BUT BELIEVED IT TO BE A "RAPID TEST"). THE CONSUMER TESTED WITH THE BINAXNOW COVID-19 ANTIGEN SELF-TEST ON (B)(6) 2021 WHICH GENERATED A NEGATIVE RESULT. THE CONSUMER RETESTED WITH ANOTHER BINAXNOW COVID-19 ANTIGEN SELF -TEST WHICH GENERATED A NEGATIVE RESULT. THE CONSUMER HAD CONFIRMATION PCR TESTING PERFORMED (PLATFORM UNKNOWN) AND IS AWAITING THE RESULTS. THE CUSTOMER STATED THE PATIENT WAS ASYMPTOMATIC . NO ADDITIONAL PATIENT INFORMATION, INCLUDING TREATMENT AND OUTCOME, WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2365305 BINAXNOW COVID-19 ANTIGEN SELF-TEST LATERAL FLOW IMMUNOASSAY IVD OF COVID-19 QKP ABBOTT DIAGNOSTICS SCARBOROUGH, INC. 161332 00811877011408

Patients

Seq Age Sex Outcome Treatment
1 49 YR Female