FDA Adverse Event Malfunction Summary report: N

DETERMINE HIV-1/2 AG/AB COMBO 25T

MDR report key: 21704538 · Received March 27, 2025

Report

Report Number
1221359-2025-00141
Event Type
Malfunction
Date Received
March 27, 2025
Date of Event
January 14, 2025
Report Date
September 23, 2025
Manufacturer
ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
Product Code
MZF
PMA / PMN Number
BP120037
Removal / Correction Number
1221359-07/31/2025-002-C
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B3: THE DATE INDICATED IS AN APPROXIMATION AS THE EXACT EVENT DATE WAS NOT PROVIDED. TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ON RETAINED KIT LOT 0000952264 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 7D2648 / LOT 0000952264, DEVICE PART NUMBER 10732998 / LOT 945414. THE LOT MET THE REQUIRED RELEASE SPECIFICATIONS. A REVIEW OF THE COMPLAINTS REPORTED AS FALSE POSITIVE RESULTS (CONFIRMED AND UNCONFIRMED, CONFLICTING RESULTS) RELATED TO KIT LOT 0000952264 SHOWED THAT THE COMPLAINT RATE IS (B)(4)%. AS PART OF AN INVESTIGATION INTO PRELIMINARY FALSE REACTIVE RESULTS, ABBOTT FOUND THAT FOR KIT LOT 0000952264, THE ROOT CAUSE OF THE RESULTS WAS DUE TO A SUBCOMPONENT USED IN THE MANUFACTURE OF DETERMINE HIV-1/2 AG/AG COMBO. THE ISSUE HAS BEEN ISOLATED TO SPECIFIC LOTS OF THE SUBCOMPONENT, WHICH WERE USED TO MANUFACTURE SPECIFIC TEST KIT LOTS. THE NECESSARY ACTIONS TO PREVENT RECURRENCE HAVE BEEN TAKEN, AND THE CORRECTION OF PRODUCT IN THE FIELD WAS CONDUCTED.

Additional Manufacturer Narrative · 0

B3: THE DATE INDICATED IS AN APPROXIMATION AS THE EXACT EVENT DATE WAS NOT PROVIDED. THE REMAINDER OF THE INVESTIGATION IS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE PROVIDED PENDING COMPLETION, OR UPON RECEIPT OF NEW INFORMATION.

Description of Event or Problem · 0

THE CUSTOMER REPORTED TWENTY-FOUR (24) FALSE POSITIVE RESULTS WITH DETERMINE HIV-1/2 AG/AB COMBO TEST PERFORMED USING DIFFERENT LOTS ON UNKNOWN DATES. THIS MFR. REPORT ADDRESSES TEST SEVENTEEN (17) OF TWENTY-FOUR (24) WITH LOT 0000952264. THE CUSTOMER REPORTED A FALSE POSITIVE RESULT WITH DETERMINE HIV-1/2 AG/AB COMBO TEST PERFORMED ON UNKNOWN DATE USING FINGERSTICK SAMPLE. CONFIRMATORY TESTING WAS PERFORMED USING UNKNOWN PLATFORM ON AN UNKNOWN DATE WHICH GENERATED NEGATIVE RESULT. NO ADDITIONAL INFORMATION INCLUDING PATIENT TREATMENT AND OUTCOME WAS PROVIDED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED TWENTY-FOUR (24) FALSE POSITIVE RESULTS WITH DETERMINE HIV-1/2 AG/AB COMBO TEST PERFORMED USING DIFFERENT LOTS ON UNKNOWN DATES. THIS MFR. REPORT ADDRESSES TEST SEVENTEEN (17) OF TWENTY-FOUR (24) WITH LOT 0000952264. THE CUSTOMER REPORTED A FALSE POSITIVE RESULT WITH DETERMINE HIV-1/2 AG/AB COMBO TEST PERFORMED ON UNKNOWN DATE USING FINGERSTICK SAMPLE. CONFIRMATORY TESTING WAS PERFORMED USING UNKNOWN PLATFORM ON AN UNKNOWN DATE WHICH GENERATED NEGATIVE RESULT. NO ADDITIONAL INFORMATION INCLUDING PATIENT TREATMENT AND OUTCOME WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2417048 DETERMINE HIV-1/2 AG/AB COMBO 25T TEST, HIV DETECTION MZF ABBOTT DIAGNOSTICS SCARBOROUGH, INC. 0000952264

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown