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