FDA Adverse Event Malfunction Summary report: N

ID NOW COVID-19 2.0 TEST KIT 24T JAPAN

MDR report key: 20303582 · Received September 25, 2024

Report

Report Number
1221359-2024-00622
Event Type
Malfunction
Date Received
September 25, 2024
Date of Event
September 1, 2024
Report Date
October 18, 2024
Manufacturer
ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
Product Code
QWR
UDI-DI
04571226475447
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B3: THE DATE OF EVENT IS AN ESTIMATION AS ACTUAL EVENT DATE WAS NOT PROVIDED. D2A: SIMPLE POINT-OF-CARE DEVICE TO DETECT SAR-COV-2 NUCLEIC ACID TARGETS FROM CLINICAL SPECIMENS IN NEAR-PATIENT SETTINGS. G4: THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER 192-000J THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER 192-000. TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ON RETAINED KIT LOT M885159 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 192-000J / LOT: M885159, TEST BASE PART NUMBER 192-430 / LOT: M885159. 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 M885159 SHOWED THAT THE COMPLAINT RATE IS (B)(4)%. ABBOTT DIAGNOSTICS SCARBOROUGH, INC. WAS UNABLE TO DETERMINE THE EXACT ROOT CAUSE OF THE REPORTED ISSUE, HOWEVER IT COULD HAVE POSSIBLY BEEN RELATED TO SAMPLE INTERFERENCE.

Additional Manufacturer Narrative · 0

B3: THE DATE OF EVENT IS AN ESTIMATION AS ACTUAL EVENT DATE WAS NOT PROVIDED. D2A: SIMPLE POINT-OF-CARE DEVICE TO DETECT SAR-COV-2 NUCLEIC ACID TARGETS FROM CLINICAL SPECIMENS IN NEAR-PATIENT SETTINGS G4: THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER 192-000J THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER 192-000. THE RESULTS OF THE INVESTIGATION ARE STILL PENDING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OR UPON RECEIPT OF ADDITIONAL INFORMATION.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSE POSITIVE RESULTS WITH THE ID NOW COVID-19 2.0 ASSAY FOR FIVE (5) PATIENTS PERFORMED ON UNKNOWN DATES. THIS MANUFACTURER REPORT ADDRESSES PATIENT THREE (3) OF FIVE (5). THE CUSTOMER REPORTED A FALSE POSITIVE RESULT WITH THE ID NOW COVID-19 2.0 ASSAY (DATE PERFORMED UNKNOWN, BUT RECENTLY). THE PATIENT WAS TESTED WITH THE ASSAY WHICH RETURNED A POSITIVE RESULT. THE CUSTOMER THEN PERFORMED CONFIRMATION TESTING (PCR, DATE PERFORMED UNKNOWN) ON THE PATIENT, WHICH RETURNED A NEGATIVE RESULT. THE PATIENT WAS NOTED TO HAVE NO SYMPTOMS. NO ADDITIONAL PATIENT INFORMATION, INCLUDING TREATMENT AND OUTCOME, WAS PROVIDED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSE POSITIVE RESULTS WITH THE ID NOW COVID-19 2.0 ASSAY FOR FIVE (5) PATIENTS PERFORMED ON UNKNOWN DATES. THIS MANUFACTURER REPORT ADDRESSES PATIENT THREE (3) OF FIVE (5). THE CUSTOMER REPORTED A FALSE POSITIVE RESULT WITH THE ID NOW COVID-19 2.0 ASSAY (DATE PERFORMED UNKNOWN, BUT RECENTLY). THE PATIENT WAS TESTED WITH THE ASSAY WHICH RETURNED A POSITIVE RESULT. THE CUSTOMER THEN PERFORMED CONFIRMATION TESTING (PCR, DATE PERFORMED UNKNOWN) ON THE PATIENT, WHICH RETURNED A NEGATIVE RESULT. THE PATIENT WAS NOTED TO HAVE NO SYMPTOMS. NO ADDITIONAL PATIENT INFORMATION, INCLUDING TREATMENT AND OUTCOME, WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2239559 ID NOW COVID-19 2.0 TEST KIT 24T JAPAN SIMPLE POINT-OF-CARE DEVICE TO DETECT SAR-COV-2 NUCLEIC ACID TARGETS QWR ABBOTT DIAGNOSTICS SCARBOROUGH, INC. M885159 04571226475447

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown