FDA Adverse Event Malfunction Summary report: N

ID NOW COVID-19 2.0 TEST KIT 24T (EUA)

MDR report key: 16108667 · Received January 5, 2023

Report

Report Number
1221359-2023-00043
Event Type
Malfunction
Date Received
January 5, 2023
Date of Event
December 27, 2022
Report Date
March 20, 2023
Manufacturer
ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
Product Code
QJR
UDI-DI
00811877011354
PMA / PMN Number
EUA210517
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ON RETAINED KIT LOT 1092961 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 192-000 / LOT 1092961, TEST BASE PART NUMBER 192-430 / LOT 1092961. THE LOT MET THE REQUIRED RELEASE SPECIFICATIONS. A REVIEW OF THE COMPLAINTS REPORTED AS FALSE POSITIVE PATIENT RESULTS (CONFIRMED AND UNCONFIRMED, CONFLICTING RESULTS) RELATED TO KIT LOT 1092961 SHOWED THAT THE COMPLAINT RATE IS (B)(4). ABBOTT DIAGNOSTICS SCARBOROUGH, INC. WAS UNABLE TO DETERMINE THE EXACT ROOT CAUSE OF THE REPORTED ISSUE. H3 OTHER TEXT : SINGLE USE; DEVICE DISCARDED.

Additional Manufacturer Narrative · 0

THE REMAINDER OF THE INVESTIGATION REMAINS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE PROVIDED AFTER COMPLETION. SINGLE USE; DEVICE DISCARDED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FOUR (4) UNCONFIRMED FALSE POSITIVE RESULTS WITH THE ID NOW COVID-19 2.0 FOR MULTIPLE PATIENTS PERFORMED ON MULTIPLE DATES. THIS MFR. REPORT ADDRESSES TEST/PATIENT TWO (2) OF FOUR (4). THE CUSTOMER REPORTED A FALSE POSITIVE RESULT WITH THE ID NOW COVID-19 2.0 PERFORMED ON 27DEC2022 ON A NASAL SWAB. CONFIRMATION TESTING WAS NOT PERFORMED. THE CUSTOMER CONFIRMED THERE WAS NO PATIENT HARM DUE TO THE TEST RESULTS. ADDITIONALLY, THE CUSTOMER CONFIRMED THERE WAS NO DELAY OR IMPACT IN THE PATIENT'S TREATMENT.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FOUR (4) UNCONFIRMED FALSE POSITIVE RESULTS WITH THE ID NOW COVID-19 2.0 FOR MULTIPLE PATIENTS PERFORMED ON MULTIPLE DATES. THIS MFR. REPORT ADDRESSES TEST/PATIENT TWO (2) OF FOUR (4). THE CUSTOMER REPORTED A FALSE POSITIVE RESULT WITH THE ID NOW COVID-19 2.0 PERFORMED ON (B)(6) 2022 ON A NASAL SWAB. CONFIRMATION TESTING WAS NOT PERFORMED. THE CUSTOMER CONFIRMED THERE WAS NO PATIENT HARM DUE TO THE TEST RESULTS. ADDITIONALLY, THE CUSTOMER CONFIRMED THERE WAS NO DELAY OR IMPACT IN THE PATIENT'S TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
191431 ID NOW COVID-19 2.0 TEST KIT 24T (EUA) REAGENTS, 2019-NOVEL CORONAVIRUS NUCLEIC ACID QJR ABBOTT DIAGNOSTICS SCARBOROUGH, INC. 1092961 00811877011354

Patients

Seq Age Sex Outcome Treatment
1 Unknown