FDA Adverse Event
Malfunction
Summary report: N
CUE COVID-19 TEST FOR HOME AND OVER THE COUNTER (OTC) USE
MDR report key: 15136394
·
Received July 29, 2022
Report
- Report Number
- 3016758165-2022-00103
- Event Type
- Malfunction
- Date Received
- July 29, 2022
- Date of Event
- January 18, 2022
- Report Date
- July 29, 2022
- Manufacturer
- CUE HEALTH INC.
- Product Code
- QJR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
A TECHNICAL SUPPORT REPRESENTATIVE REVIEWED CUSTOMER DATA AND PERFORMED DATA ANALYSIS. ALL DATA VALUES WERE NORMAL AND MET ACCEPTABLE CRITERIA. ROOT CAUSE WAS UNDETERMINED
Description of Event or Problem · 0
ON (B)(6) 2022 A CUSTOMER REPORTED TO A CUE HEALTH INC. TECHNICAL SUPPORT REPRESENTATIVE TWO (2) FALSE POSITIVE RESULTS VIA CUE. THE CUSTOMER FOLLOWED UP WITH A NEGATIVE PCR. CUSTOMER DID NO PROVIDE DETAILS REGARDING THE PCR TEST. CARTRIDGE LN 20857E, CARTRIDGE SN'S (B)(4); READER SN (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 829259 | CUE COVID-19 TEST FOR HOME AND OVER THE COUNTER (OTC) USE | REAGENTS, 2019-NOVEL CORONAVIRUS NUCLEIC ACID | QJR | CUE HEALTH INC. | C2020 | 20857E |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |