Brand Name | INTELISWAB COVID-19 RAPID TEST |
Type of Device | INTELISWAB |
Manufacturer (Section D) |
ORASURE TECHNOLOGIES, INC. |
220 east first street |
bethlehem PA 18015 |
|
Manufacturer (Section G) |
ORASURE TECHNOLOGIES, INC. |
220 east first street |
|
bethlehem PA 18015 |
|
Manufacturer Contact |
jennifer
krause
|
220 east first street |
bethlehem, PA 18015
|
6108821820
|
|
MDR Report Key | 16094135 |
MDR Text Key | 308535671 |
Report Number | 3004142665-2023-00001 |
Device Sequence Number | 1 |
Product Code |
QKP
|
Combination Product (y/n) | N |
PMA/PMN Number | EUA210378 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Other,Consumer |
Reporter Occupation |
Other
|
Type of Report
| Initial,Followup |
Report Date |
01/04/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Lay User/Patient
|
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
01/03/2023
|
Initial Date FDA Received | 01/04/2023 |
Supplement Dates Manufacturer Received | 01/03/2023
|
Supplement Dates FDA Received | 01/11/2023
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
|
|