FDA Adverse Event Malfunction Summary report: N

BINAXNOW COVID-19 AG SELF TEST 2CT

MDR report key: 16766176 · Received April 18, 2023

Report

Report Number
1221359-2023-00646
Event Type
Malfunction
Date Received
April 18, 2023
Date of Event
April 4, 2023
Report Date
May 25, 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

THE INVESTIGATION IS ONGOING. A SUPPLEMENT REPORT WILL BE SENT UPON INVESTIGATION COMPLETION. SINGLE USE DEVICE, DISCARDED.

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ON RETAINED KIT LOT 214045 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 KIT PART NUMBER 195-160 / LOT 214045 AND DEVICE PART NUMBER 195-430WJR / LOT 212379. 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 214045 SHOWED THAT THE COMPLAINT RATE IS 0.00140%. ABBOTT DIAGNOSTICS SCARBOROUGH WAS UNABLE TO DETERMINE THE EXACT ROOT CAUSE OF THE REPORTED ISSUE; HOWEVER, IT COULD POSSIBLY BE RELATED TO ISSUES INCLUDING THE SELF-TEST USER PERFORMANCE, INTERPRETATION OF THE RESULT, OR THE SPECIFIC PATIENT SAMPLE. H3 OTHER TEXT : SINGLE USE DEVICE, DISCARDED.

Description of Event or Problem · 0

THE CONSUMER REPORTED TWO (2) UNCONFIRMED FALSE POSITIVE RESULTS WITH THE BINAXNOW COVID-19 AG SELF-TEST ON (B)(6) 2023. THIS REPORT IS FOR RESULT TWO (2) OF TWO (2). THE CONSUMER INDICATED THAT THEY PERFORMED A NON-ABBOTT SELF-TEST (BRAND NAME UNKNOWN) WHICH GENERATED A NEGATIVE RESULT ON AN UNKNOWN DATE. NO ADDITIONAL INFORMATION INCLUDING PATIENT TREATMENT OR OUTCOME WAS PROVIDED.

Description of Event or Problem · 0

THE CONSUMER REPORTED TWO (2) UNCONFIRMED FALSE POSITIVE RESULTS WITH THE BINAXNOW COVID-19 AG SELF-TEST ON 04APR2023. THIS REPORT IS FOR RESULT TWO (2) OF TWO (2). THE CONSUMER INDICATED THAT THEY PERFORMED A NON-ABBOTT SELF-TEST (BRAND NAME UNKNOWN) WHICH GENERATED A NEGATIVE RESULT ON AN UNKNOWN DATE.NO ADDITIONAL INFORMATION INCLUDING PATIENT TREATMENT OR OUTCOME WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1210976 BINAXNOW COVID-19 AG SELF TEST 2CT CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM. QKP ABBOTT DIAGNOSTICS SCARBOROUGH, INC. 214045 00811877011408

Patients

Seq Age Sex Outcome Treatment
1 Unknown