FDA Adverse Event Malfunction Summary report: N

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

MDR report key: 21882600 · Received April 22, 2025

Report

Report Number
1221359-2025-00221
Event Type
Malfunction
Date Received
April 22, 2025
Date of Event
March 17, 2025
Report Date
November 6, 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
CO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE REMAINDER OF THE INVESTIGATION IS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE PROVIDED PENDING COMPLETION, OR UPON RECEIPT OF NEW INFORMATION.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: PATIENT WAS CONFIRMED NOT PREGNANT. NEW INFORMATION WAS PROVIDED ON PATIENT DEMOGRAPHICS, BASED UPON THIS NEW INFORMATION, THIS COMPLAINT IS NO LONGER A REPORTABLE EVENT. THE REMAINDER OF THE INVESTIGATION IS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE PROVIDED PENDING COMPLETION, OR UPON RECEIPT OF NEW INFORMATION.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: D4: CUSTOMER WAS UNABLE TO CONFIRM WHICH OF THE TWO LOTS MENTIONED BELOW WERE USED ON 17MAR2025. -LN: 0000939868, EXPIRATION DATE 28SEP2026, DEVICE MFG DATE: 04DEC2024, PRIMARY UDI NUMBER: (B)(4). -LN: 0000962456, EXPIRATION DATE 28OCT2026, DEVICE MFG DATE: 23JAN2025, PRIMARY UDI NUMBER: (B)(4). LN: 0000939868 AS PART OF AN INVESTIGATION INTO PRELIMINARY FALSE REACTIVE RESULTS, ABBOTT FOUND THAT FOR KIT LOT 0000939868, 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. LN: 0000962456 AS PART OF AN INVESTIGATION INTO PRELIMINARY FALSE REACTIVE RESULTS, ABBOTT FOUND THAT FOR KIT LOT 0000962456, 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.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THREE (3) FALSE POSITIVE RESULTS WITH THE DETERMINE HIV-1/2 AG/AB COMBO TEST KIT PERFORMED ON VARIOUS DATES. THIS MFR. REPORT ADDRESSES TEST TWO (2) OF THREE (3). THE CUSTOMER REPORTED A FALSE POSITIVE RESULT WITH DETERMINE HIV-1/2 AG/AB COMBO TEST PERFORMED ON (B)(6) 2025 USING FINGERSTICK SAMPLE TYPE. CONFIRMATORY TESTING WAS PERFORMED WITH HIV 1/2 GEN 4 GEENIUS REFLEX TEST ON (B)(6) 2025 USING VENOUS SAMPLE WHICH GENERATED NEGATIVE RESULT. THE CUSTOMER CONFIRMED THAT PATIENT WAS NOT HOSPITALIZED AND THERE WAS NO PATIENT HARM DUE TO THE TEST RESULTS.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THREE (3) FALSE POSITIVE RESULTS WITH THE DETERMINE HIV-1/2 AG/AB COMBO TEST KIT PERFORMED ON VARIOUS DATES. THIS MFR. REPORT ADDRESSES TEST TWO (2) OF THREE (3). THE CUSTOMER REPORTED A FALSE POSITIVE RESULT WITH DETERMINE HIV-1/2 AG/AB COMBO TEST PERFORMED ON (B)(6) 2025 USING FINGERSTICK SAMPLE TYPE. CONFIRMATORY TESTING WAS PERFORMED WITH HIV 1/2 GEN 4 GENIUS REFLEX TEST ON (B)(6) 2025 USING VENOUS SAMPLE WHICH GENERATED NEGATIVE RESULT. THE CUSTOMER CONFIRMED THAT PATIENT WAS NOT HOSPITALIZED AND THERE WAS NO PATIENT HARM DUE TO THE TEST RESULTS.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THREE (3) FALSE POSITIVE RESULTS WITH THE DETERMINE HIV-1/2 AG/AB COMBO TEST KIT PERFORMED ON VARIOUS DATES. THIS MFR. REPORT ADDRESSES TEST TWO (2) OF THREE (3). THE CUSTOMER REPORTED A FALSE POSITIVE RESULT WITH DETERMINE HIV-1/2 AG/AB COMBO TEST PERFORMED ON (B)(6) 2025 USING FINGERSTICK SAMPLE TYPE. CONFIRMATORY TESTING WAS PERFORMED WITH HIV 1/2 GEN 4 GEENIUS REFLEX TEST ON (B)(6) 2025 USING VENOUS SAMPLE WHICH GENERATED NEGATIVE RESULT. THE CUSTOMER CONFIRMED THAT PATIENT WAS NOT HOSPITALIZED AND THERE WAS NO PATIENT HARM DUE TO THE TEST RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1016435 DETERMINE HIV-1/2 AG/AB COMBO 25T TEST, HIV DETECTION MZF ABBOTT DIAGNOSTICS SCARBOROUGH, INC.

Patients

Seq Age Sex Outcome Treatment
1 19 YR Female