BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BINAXNOW COVID-19 AG SELF TEST 2CT

    MDR report key: 18534208 · Received January 18, 2024

    Report

    Report Number
    1221359-2024-00075
    Event Type
    Malfunction
    Date Received
    January 18, 2024
    Date of Event
    January 3, 2024
    Report Date
    March 20, 2024
    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

    (B)(4). THE REMAINDER OF THE INVESTIGATION REMAINS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE PROVIDED AFTER COMPLETION. H3 OTHER TEXT : SINGLE USE; DEVICE DISCARDED.

    Additional Manufacturer Narrative · 0

    FDA UDI (B)(6) TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ON RETAINED KIT LOT 226668 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 195-160 / LOT 226668 AND TEST BASE PART NUMBER 195-430H / LOT 223577. THE LOT MET THE REQUIRED RELEASE SPECIFICATIONS. A REVIEW OF THE COMPLAINTS REPORTED FALSE NEGATIVE PATIENT RESULTS (CONFIRMED AND UNCONFIRMED, CONFLICTING RESULTS) RELATED TO KIT LOT 226668 SHOWED THAT THE COMPLAINT RATE IS (B)(4). ABBOTT DIAGNOSTICS SCARBOROUGH WAS UNABLE TO DETERMINE THE EXACT ROOT CAUSE OF THE REPORTED ISSUE.B6 - RELEVANT TEST/LABORATORY DATA B7 - OTHER RELEVANT HISTORY H3 OTHER TEXT : SINGLE USE; DEVICE DISCARDED

    Description of Event or Problem · 0

    THE CUSTOMER REPORTED TWO FALSE NEGATIVE RESULTS WITH THE BINAXNOW COVID-19 ANTIGEN SELF-TEST PERFORMED ON (B)(6) 2024. THIS MANUFACTURER'S REPORT ADDRESSES TEST TWO (2) OF TWO (2). REPEAT TESTING WAS PERFORMED ON (B)(6) 2024 AND GENERATED A NEGATIVE RESULT. A PRIOR TEST PERFORMED ON (B)(6) 2023, USING A DIFFERENT UNKNOWN BRAND OF TEST, GENERATED A POSITIVE RESULT. ALTHOUGH REQUESTED, NO ADDITIONAL PATIENT INFORMATION, INCLUDING TREATMENT AND OUTCOME, WAS PROVIDED.

    Description of Event or Problem · 0

    THE CUSTOMER REPORTED TWO FALSE NEGATIVE RESULTS WITH THE BINAXNOW COVID-19 ANTIGEN SELF-TEST PERFORMED ON 02JAN2024. THIS MANUFACTURER'S REPORT ADDRESSES TEST TWO (2) OF TWO (2). REPEAT TESTING WAS PERFORMED ON 03JAN2024 AND GENERATED A NEGATIVE RESULT. A PRIOR TEST PERFORMED ON 30DEC2023, USING A DIFFERENT UNKNOWN BRAND OF TEST, GENERATED A POSITIVE RESULT. ALTHOUGH REQUESTED, NO ADDITIONAL PATIENT INFORMATION, INCLUDING TREATMENT AND OUTCOME, WAS PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    867714 BINAXNOW COVID-19 AG SELF TEST 2CT CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM. QKP ABBOTT DIAGNOSTICS SCARBOROUGH, INC. 226668 00811877011408

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Male