FDA Adverse Event Malfunction Summary report: N

BINAXNOW COVID-19 AG SELF TEST 2CT

MDR report key: 15810432 · Received November 16, 2022

Report

Report Number
1221359-2022-10152
Event Type
Malfunction
Date Received
November 16, 2022
Date of Event
November 1, 2022
Report Date
January 30, 2023
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
003

Narratives

Additional Manufacturer Narrative · 0

TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ON RETAINED KIT LOT 213175 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 213175, TEST BASE PART NUMBER 195-430WJR / LOT 210876. 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 213175 SHOWED THAT THE COMPLAINT RATE IS (B)(4).. A PRODUCT DEFICIENCY HAS NOT BEEN IDENTIFIED. BASED ON THE ABOVE SUMMARY, THE INVESTIGATION IS DEEMED CLOSED. THE PRODUCT WILL CONTINUE TO BE MONITORED AND TRACKED. H3 OTHER TEXT : DEVICE DISCARDED, SINGLE USE.

Additional Manufacturer Narrative · 0

THE INVESTIGATION IS STILL IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE PROVIDED AFTER COMPLETION. DEVICE DISCARDED, SINGLE USE.

Description of Event or Problem · 0

THE CONSUMER REPORTED FOUR FALSE NEGATIVE RESULTS WITH BINAXNOW COVID-19 AG SELF-TEST ON (B)(6)2022 ON NASAL SWAB. THE CONSUMER STATED THAT HE PERFORMED 4 TESTS ON (B)(6)2022; TWO (2) TESTS FOR HIMSELF AND TWO (2) TESTS FOR HIS WIFE AND TESTED NEGATIVE ON BINAXNOW COVID-19. A CONFIRMATORY TEST (PCR) WAS PERFORMED ON (B)(6)2022 AND GENERATED A POSITIVE RESULT FOR HIM AND HIS WIFE. THIS MFR. REPORT ADDRESSES TEST ONE (1) OF FOUR (4) TESTS. NO ADDITIONAL PATIENT INFORMATION, INCLUDING TREATMENT AND OUTCOME, WAS PROVIDED.

Description of Event or Problem · 0

THE CONSUMER REPORTED FOUR FALSE NEGATIVE RESULTS WITH BINAXNOW COVID-19 AG SELF-TEST ON (B)(6) 2022 ON NASAL SWAB. THE CONSUMER STATED THAT HE PERFORMED 4 TESTS ON (B)(6) 2022; TWO (2) TESTS FOR HIMSELF AND TWO (2) TESTS FOR HIS WIFE AND TESTED NEGATIVE ON BINAXNOW COVID-19. A CONFIRMATORY TEST (PCR) WAS PERFORMED ON (B)(6) 2022 AND GENERATED A POSITIVE RESULT FOR HIM AND HIS WIFE. THIS MFR. REPORT ADDRESSES TEST ONE (1) OF FOUR (4) TESTS. NO ADDITIONAL PATIENT INFORMATION, INCLUDING TREATMENT AND OUTCOME, WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1416864 BINAXNOW COVID-19 AG SELF TEST 2CT CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM. QKP ABBOTT DIAGNOSTICS SCARBOROUGH, INC. 213175 00811877011408

Patients

Seq Age Sex Outcome Treatment
1 65 YR Male