FDA Adverse Event Malfunction Summary report: N

IHEALTH

MDR report key: 17581216 · Received August 20, 2023

Report

Report Number
3008573045-2023-00036
Event Type
Malfunction
Date Received
August 20, 2023
Date of Event
July 31, 2023
Report Date
August 19, 2023
Manufacturer
ANDON MEDICAL CO.,LTD
Product Code
QKP
PMA / PMN Number
EUA210470
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

1.NO REPORTS OF ADVERSE RELATED EVENTS WITH EITHER PATIENT OR USER . 2.LOT NUMBER: 221CO20901 HAS NOT BEEN IDENTIFIED BY IHEALTH LABS, INC., AS A COUNTERFEIT PRODUCT, SO IT IS SAFE TO CONCLUDE THAT THE DEVICE/KIT RECEIVED IS A VALID IHEALTH LABS, INC., MANUFACTURED TEST KIT PRODUCT. 3.INITIAL REPORTS SUGGESTED THAT THE IHEALTH ANTIGEN TEST KIT WAS NOT TAMPERED WITH, ALTERED, OR COMPROMISED, AS NO EVIDENCE THAT THE USER/PATIENT HAD SEEN EVIDENCE OF PRODUCT ALTERATION. 4.A FALSE NEGATIVE RESULT MAY OCCUR IF THE TEST RESULT IS READ BEFORE 15 MINUTES OR AFTER 30 MINUTES. 5.TEST TO THE PRODUCTION BATCH OF PRODUCT RETENTION SAMPLES, TEST OF LOT: 221CO20901 WAS PASS.

Description of Event or Problem · 0

THE USER BOUGHT 4 BOXES OF YOUR TESTS ON AMAZON (TWO DIFFERENT LOTS). DESPITE BEING SYMPTOMATIC AND HAVING A KNOWN EXPOSURE I TESTED NEGATIVELY REPEATEDLY ON THE LOT WITH THE 08/31/2023 EXPIRATION DATE. THIS MORNING I TESTED ON A LOT WITH AB 04/2024 EXPIRATION DATE AND TESTED POSITIVE. USING THE SAME VIAL THAT I TESTED POSITIVE ON I USED ONE OF THE CARDS FROM THE OLDER LOT AND IT AGAIN WAS NEGATIVE. I AM SINCERELY DISAPPOINTED BECAUSE NOW I MAY HAVE EXPOSED MY 4 MONTH OLD ASSUMING I WAS NEGATIVE AND WE SENT OUR DAUGHTER TO CAMP EXPOSING HER ENTIRE BUNK BECAUSE WE ASSUMED SHE WAS NEGATIVE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2126812 IHEALTH COVID-19 ANTIGEN RAPID TEST QKP ANDON MEDICAL CO.,LTD ICO-3000 221CO20901

Patients

Seq Age Sex Outcome Treatment
1 30 YR Unknown