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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT DIAGNOSTICS SCARBOROUGH, INC. BINAXNOW COVID-19 AG SELF TEST 2CT; CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM.

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ABBOTT DIAGNOSTICS SCARBOROUGH, INC. BINAXNOW COVID-19 AG SELF TEST 2CT; CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM. Back to Search Results
Catalog Number 195-160
Device Problem Non Reproducible Results (4029)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/07/2023
Event Type  malfunction  
Manufacturer Narrative
The remainder of the investigation remains in progress.A supplemental report will be provided after completion.Single use, device discarded.
 
Event Description
The consumer reported conflicting results with the binaxnow covid-19 antigen self-test kit performed on 07mar2023 on a nasal sample.Initial testing was performed using the binaxnow covid-19 antigen self-test kit.Before 15 minutes, the consumer reopened the test card and rotated the swab an additional time before closing the test card.After 15 minutes, the binaxnow covid-19 antigen self-test kit generated a positive result.Repeat testing was performed on the same day generating a negative result.Confirmation testing was not performed.The consumer confirmed there was no patient harm due to the test results.Additionally, the consumer confirmed there was no delay or impact in the patient's treatment.
 
Event Description
The consumer reported conflicting results with the binaxnow covid-19 antigen self-test kit performed on (b)(6) 2023 on a nasal sample.Initial testing was performed using the binaxnow covid-19 antigen self-test kit.Before 15 minutes, the consumer reopened the test card and rotated the swab an additional time before closing the test card.After 15 minutes, the binaxnow covid-19 antigen self-test kit generated a positive result.Repeat testing was performed on the same day generating a negative result.Confirmation testing was not performed.The consumer confirmed there was no patient harm due to the test results.Additionally, the consumer confirmed there was no delay or impact in the patient's treatment.
 
Manufacturer Narrative
Testing was performed at abbott diagnostics scarborough, inc.On retained kit lot 211656 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 195-160/ lot: 211656, test base part number 195-430h/ lot: 208044.The lot met the required release specifications.A review of the complaints reported as false positive and false negative patient results (confirmed and unconfirmed, conflicting results) related to kit lot 211656 showed that the complaint rate is (b)(4) % respectively.Abbott diagnostics scarborough, inc.Was unable to determine the exact root cause of the reported issue; however, it could have possibly been related to issues including the customer opened test card during wait time.H3 other text : single use, device discarded.
 
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Brand Name
BINAXNOW COVID-19 AG SELF TEST 2CT
Type of Device
CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM.
Manufacturer (Section D)
ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
10 southgate road
scarborough ME 04074
Manufacturer Contact
rachel blackwell
10 southgate road
scarborough, ME 04074
6613888803
MDR Report Key16541542
MDR Text Key311372919
Report Number1221359-2023-00497
Device Sequence Number1
Product Code QKP
UDI-Device Identifier00811877011408
UDI-Public00811877011408
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
EUA210264
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Consumer
Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date 05/16/2023
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
Device Expiration Date05/10/2024
Device Catalogue Number195-160
Device Lot Number211656
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 03/07/2023
Initial Date FDA Received03/14/2023
Supplement Dates Manufacturer Received05/12/2023
Supplement Dates FDA Received05/16/2023
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Age4 YR
Patient SexMale
Patient EthnicityNon Hispanic
Patient RaceWhite
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