FDA Adverse Event Injury Summary report: N

CLINITEST RAPID COVID-19 ANTIGEN SELF-TEST

MDR report key: 17405967 · Received July 25, 2023

Report

Report Number
MW5120160
Event Type
Injury
Date Received
July 25, 2023
Date of Event
July 11, 2023
Manufacturer
HEALGEN SCIENTIFIC LLC.
Product Code
QKP
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
AZ, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

I CONTRACTED COVID-19 ABOUT A WEEK AGO. UNFORTUNATELY, THE CLINITEST RAPID COVID-19 ANTIGEN SELF-TEST FAILED TO DETECT THE INFECTION DUE TO AN INSUFFICIENT QUANTITY OF BUFFER LIQUID IN THE TEST TUBE. AFTER THE SWAB WITH THE MUCUS SAMPLE WAS INSERTED INTO THE TUBE, IT WAS UNABLE TO PROVIDE EVEN A SINGLE DROP OF LIQUID FOR THE TEST STRIP. I THINK THAT THE INSUFFICIENT BUFFER FLUID WAS CAUSED BY MANUFACTURING ERROR OR SIMPLY DRIED OUT OVER TIME. LOT NUMBERS PRINTED ON THE BOX: 2202062EUA, 2202141EUA LOT NUMBERS PRINTED ON THE BUFFER TUBES: 2022010390, EXPIRY DATE: 2024, 06, 2022020329, EXPIRY DATE: 2024, 07. SELF-TEST FAILED TO DETECT THE INFECTION DUE TO AN INSUFFICIENT QUANTITY OF BUFFER LIQUID IN THE TEST TUBE. REFERENCE REPORT: MW5120159.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2325552 CLINITEST RAPID COVID-19 ANTIGEN SELF-TEST CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM QKP HEALGEN SCIENTIFIC LLC. 2022020329

Patients

Seq Age Sex Outcome Treatment
1 54 YR Female Required Intervention