FDA Adverse Event
Malfunction
Summary report: N
MAXIMBIO CLEARDETECT COVID TEST
MDR report key: 15825574
·
Received November 17, 2022
Report
- Report Number
- MW5113346
- Event Type
- Malfunction
- Date Received
- November 17, 2022
- Date of Event
- November 14, 2022
- Report Date
- November 16, 2022
- Manufacturer
- MAXIM BIOMEDICAL INC.
- Product Code
- QKP
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
MAXIMBIO CLEARDETECT COVID TESTS DO NOT WORK - NO CONTROL LINES WHEN TESTING ON 4 TESTS. AT LEAST ONE FALSE NEGATIVE ON ADDITIONAL TEST. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1372010 | MAXIMBIO CLEARDETECT COVID TEST | CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM | QKP | MAXIM BIOMEDICAL INC. | MB07JUL2201 | ||
| 1372011 | MAXIMBIO CLEARDETECT COVID TEST | CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM | QKP | MAXIM BIOMEDICAL INC. | MB07JUL2201 | ||
| 1372012 | MAXIMBIO CLEARDETECT COVID TEST | CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM | QKP | MAXIM BIOMEDICAL INC. | |||
| 1372013 | MAXIMBIO CLEARDETECT COVID TEST | CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM | QKP | MAXIM BIOMEDICAL INC. | |||
| 1372014 | MAXIMBIO CLEARDETECT COVID TEST | CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM | QKP | MAXIM BIOMEDICAL INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 59 YR | Female |