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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ORASURE TECHNOLOGIES, INC. INTELISWAB COVID-19 RAPID TEST

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ORASURE TECHNOLOGIES, INC. INTELISWAB COVID-19 RAPID TEST Back to Search Results
Device Problem Insufficient Information (3190)
Patient Problem Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Date 12/26/2022
Event Type  malfunction  
Event Description
Consumer left a review on walmart.Com stating they received a false negative result.Inaccurate results (b)(6) 2022.Inaccurate results.I tested at home negative then went to a clinic same day and tested positive.
 
Event Description
Consumer left a review on walmart.Com stating they received a false negative result.Inaccurate results (b)(6) 2022.Inaccurate results.I tested at home negative then went to a clinic same day and tested positive.
 
Manufacturer Narrative
1/11/2023- the consumer posted a review on walmart.Com.No additional follow up is to be expected with the complaint file, and the incident will be closed internally.
 
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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 Key16094135
MDR Text Key308535671
Report Number3004142665-2023-00001
Device Sequence Number1
Product Code QKP
Combination Product (y/n)N
PMA/PMN Number
EUA210378
Number of Events Reported1
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 Received01/04/2023
Supplement Dates Manufacturer Received01/03/2023
Supplement Dates FDA Received01/11/2023
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 Number1
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