FDA Adverse Event Malfunction Summary report: N

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

MDR report key: 23133705 · Received September 24, 2025

Report

Report Number
1221359-2025-00387
Event Type
Malfunction
Date Received
September 24, 2025
Date of Event
September 8, 2025
Report Date
November 21, 2025
Manufacturer
ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
Product Code
MZF
PMA / PMN Number
BP120037
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION REMAINS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE PROVIDED AFTER COMPLETION.

Additional Manufacturer Narrative · 0

CORRECTIONS: D4 - LOT #. D4 - EXPIRATION DATE. D4 - PRIMARY UDI NUMBER. H4 - DEVICE MFG DATE. THE INITIAL TEST (POSITIVE RESULT) WAS FROM LOT NUMBER 0000993124, THE SECOND TEST (NEGATIVE RESULT) WAS FROM A DIFFERENT, UNKNOWN LOT NUMBER. TEST #1 - POSITIVE RESULT. D4 - LOT #: 0000993124. D4 - EXPIRATION DATE: 1/28/2027. D4 - PRIMARY UDI NUMBER: (B)(4). H4 - DEVICE MFG DATE: 4/23/2025. TESTING WAS PERFORMED AT ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ON RETAINED KIT LOT 0000993124 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 0000993124, TEST BASE PART NUMBER DEVICE PART NUMBER 10732998 / LOT 992853. 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 0000993124 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 BEEN RELATED TO THE SPECIFIC PATIENT SAMPLES. TEST #2 - NEGATIVE RESULT. D4 - LOT #: UNKNOWN. D4 - EXPIRATION DATE: NI. D4 - PRIMARY UDI NUMBER: UNKNOWN. H4 - DEVICE MFG DATE: NI. THE REQUIRED INTAKE INFORMATION TO ENABLE FURTHER INVESTIGATION, SUCH AS THE KIT'S LOT NUMBER, WAS NOT PROVIDED AND AN INVESTIGATION WAS NOT ABLE TO BE PERFORMED. NOTWITHSTANDING, COMPLAINTS AGAINST THESE TREND CODES ARE MONITORED TO IDENTIFY AND TRACK ANY OUT-OF-TREND/UNEXPECTED PERFORMANCE AT THE LOT AND PRODUCT FAMILY LEVEL. ABBOTT DIAGNOSTICS SCARBOROUGH WAS UNABLE TO DETERMINE THE EXACT ROOT CAUSE OF THE REPORTED ISSUES AS NO INFORMATION WAS PROVIDED FOR INVESTIGATION.

Description of Event or Problem · 0

THE CUSTOMER REPORTED CONFLICTING RESULTS WITH THE DETERMINE HIV 1/2 AG/AB COMBO FOR TWO (2) PATIENTS (AGE RANGING FROM 18-22 YEARS OLD) PERFORMED ON (B)(6) 2025. THIS MFR. REPORT ADDRESSES PATIENT TWO (2) OF TWO (2). THE PATIENT INITIALLY TESTED POSITIVE WITH THE DETERMINE HIV 1/2 AG/AB COMBO. A REPEAT TEST WAS PERFORMED WITH ANOTHER DETERMINE HIV 1/2 AG/AB COMBO WHICH GENERATED A NEGATIVE RESULT. THE CUSTOMER REPORTED THAT NO ADDITIONAL OR CONFIRMATION TESTING WAS PERFORMED. ALTHOUGH REQUESTED, NO ADDITIONAL INFORMATION INCLUDING PATIENT TREATMENT AND OUTCOME WAS PROVIDED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED CONFLICTING RESULTS WITH THE DETERMINE HIV 1/2 AG/AB COMBO FOR TWO (2) PATIENTS (AGE RANGING FROM 18-22 YEARS OLD) PERFORMED ON (B)(6) 2025. THIS MFR. REPORT ADDRESSES PATIENT TWO (2) OF TWO (2). THE PATIENT INITIALLY TESTED POSITIVE WITH THE DETERMINE HIV 1/2 AG/AB COMBO. A REPEAT TEST WAS PERFORMED WITH ANOTHER DETERMINE HIV 1/2 AG/AB COMBO WHICH GENERATED A NEGATIVE RESULT. THE CUSTOMER REPORTED THAT NO ADDITIONAL OR CONFIRMATION TESTING WAS PERFORMED. ALTHOUGH REQUESTED, NO ADDITIONAL INFORMATION INCLUDING PATIENT TREATMENT AND OUTCOME WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2393697 DETERMINE HIV-1/2 AG/AB COMBO 25T TEST, HIV DETECTION MZF ABBOTT DIAGNOSTICS SCARBOROUGH, INC. UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown