FDA Adverse Event Injury Summary report: N

BINAXNOW RSV WAIVED 22T

MDR report key: 18615655 · Received January 31, 2024

Report

Report Number
1221359-2024-00124
Event Type
Injury
Date Received
January 31, 2024
Date of Event
January 1, 2024
Report Date
February 21, 2024
Manufacturer
ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
Product Code
GQG
UDI-DI
10811877011191
PMA / PMN Number
K032166
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

FDA UDI - (B)(4). B3: THE DATE INDICATED IS AN APPROXIMATION AS THE EXACT EVENT DATE WAS NOT PROVIDED. PER MEDICAL OPINION, IT IS UNCLEAR WHAT CONTRIBUTION OF THE ALLEGED FALSE NEGATIVE CONTRIBUTED TO THE HOSPITALIZATION/VENTILATION LIFE-THREATENING (THERE IS NO SPECIFIC RSV TREATMENT). THERE WAS NO INDICATION THAT THE NEGATIVE RESULT CONTRIBUTED TO PATIENT HOSPITALIZATION AND VENTILATION (PATIENT WAS VERY SICK BEFORE TESTING AND THE TREATMENT OF RSV ARE MOSTLY SYMPTOM RELIEVING). THIS EVENT IS BEING REPORTED OUT OF AN ABUNDANCE OF CAUTION. TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ON RETAINED KIT LOT 777906W 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 430-122/ LOT 777906W AND TEST BASE PART NUMBER 430-430 / LOT 774019. THE LOT MET THE REQUIRED RELEASE SPECIFICATIONS. A REVIEW OF THE COMPLAINTS REPORTED AS FALSE NEGATIVE PATIENT RESULTS (CONFIRMED AND UNCONFIRMED, CONFLICTING RESULTS) RELATED TO KIT LOT 777906W SHOWED THAT THE COMPLAINT RATE IS (B)(4)%. ABBOTT DIAGNOSTICS SCARBOROUGH WAS UNABLE TO DETERMINE THE EXACT ROOT CAUSE OF THE REPORTED ISSUE.

Additional Manufacturer Narrative · 0

FDA UDI - (B)(4). THE DATE INDICATED IS AN APPROXIMATION AS THE EXACT EVENT DATE WAS NOT PROVIDED. PER MEDICAL OPINION, IT IS UNCLEAR WHAT CONTRIBUTION OF THE ALLEGED FALSE NEGATIVE CONTRIBUTED TO THE HOSPITALIZATION/VENTILATION LIFE-THREATENING (THERE IS NO SPECIFIC RSV TREATMENT). THERE WAS NO INDICATION THAT THE NEGATIVE RESULT CONTRIBUTED TO PATIENT HOSPITALIZATION AND VENTILATION (PATIENT WAS VERY SICK BEFORE TESTING AND THE TREATMENT OF RSV ARE MOSTLY SYMPTOM RELIEVING). THIS EVENT IS BEING REPORTED OUT OF AN ABUNDANCE OF CAUTION. THE REMAINDER OF THE INVESTIGATION REMAINS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE PROVIDED AFTER COMPLETION.

Description of Event or Problem · 0

THE CUSTOMER REPORTED A FALSE NEGATIVE RESULT WITH THE BINAX NOW RSV TEST ON AN UNKNOWN DATE WITH AN UNKNOWN SAMPLE TYPE. PER THE CUSTOMER, PRIOR TO INITIAL TESTING, THE PATIENT WAS "REALLY SICK." FOLLOWING THE FALSE RESULT AND PATIENT'S SUBSEQUENT DEPARTURE, THE PATIENT STOPPED BREATHING AND WAS SENT TO A DIFFERENT HOSPITAL WHERE THE PATIENT TESTED POSITIVE FOR RSV ON AN UNKNOWN PLATFORM. THE PATIENT WAS REPORTED TO BE ON A VENTILATOR AS OF 05JAN2024. ALTHOUGH REQUESTED, NO FURTHER INFORMATION INCLUDING TREATMENT AND OUTCOME WAS PROVIDED. NO ADDITIONAL INFORMATION INCLUDING TREATMENT AND OUTCOME WAS PROVIDED. ATTEMPTS TO OBTAIN THIS INFORMATION ARE ONGOING.

Description of Event or Problem · 0

THE CUSTOMER REPORTED A FALSE NEGATIVE RESULT WITH THE BINAXNOW RSV TEST ON AN UNKNOWN DATE WITH AN UNKNOWN SAMPLE TYPE. PER THE CUSTOMER, PRIOR TO INITIAL TESTING, THE PATIENT WAS "REALLY SICK." FOLLOWING THE FALSE RESULT AND PATIENT'S SUBSEQUENT DEPARTURE, THE PATIENT STOPPED BREATHING AND WAS SENT TO A DIFFERENT HOSPITAL WHERE THE PATIENT TESTED POSITIVE FOR RSV ON AN UNKNOWN PLATFORM. THE PATIENT WAS REPORTED TO BE ON A VENTILATOR AS OF 05JAN2024. ALTHOUGH REQUESTED, NO FURTHER INFORMATION INCLUDING TREATMENT AND OUTCOME WAS PROVIDED. NO ADDITIONAL INFORMATION INCLUDING TREATMENT AND OUTCOME WAS PROVIDED. ATTEMPTS TO OBTAIN THIS INFORMATION ARE ONGOING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
393274 BINAXNOW RSV WAIVED 22T ANTIGEN, CF (INCLUDING CF CONTROLS), RESPIRATORY SYNCYTIAL VIRUS GQG ABBOTT DIAGNOSTICS SCARBOROUGH, INC. 777906W 10811877011191

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Life Threatening| R