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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 05/02/2023
Event Type  malfunction  
Manufacturer Narrative
D4 (lot number, expiration number): both of the below listed lots were involved within this event, however, it's not evident which lot has attributed to the false result.Lot: 218339, expiration date: 27may2024.Lot: 218611, expiration date: 07jul2024.The remainder of the investigation remains in progress.A supplemental report will be provided after completion.H3 other text : single use, device discarded.
 
Event Description
The consumer reported that her daughter had conflicting results with the binaxnow covid-19 self-test between two (2) tests performed on (b)(6) 2023 with different lot numbers.The consumer reported a positive result with the binaxnow covid-19 self-test performed on (b)(6) 2023 on a nasal sample using the provided kit swab.An additional test was performed later the same day ((b)(6) 2023) that generated a negative result utilizing the same testing type with a different lot number.Confirmation testing was not performed.The consumer stated that her daughter was symptomatic with "covid-like symptoms" but did not provide any further clarification.No additional patient information, including treatment and outcome, was provided.
 
Manufacturer Narrative
D4 (lot number, expiration number): both of the below listed lots were involved within this event, however, it's not evident which lot has attributed to the false result.Lot: 218339, expiration date: 27may2024 lot: 218611, expiration date: 07jul2024 testing was performed at abbott diagnostics scarborough, inc.On retained kit lot 218339 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 kit part number 195-160 / lot 218339 and device part number 195-430h / lot 214456.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 218339 showed that the complaint rate is (b)(4).Additionally, a review of the complaints reported as false negative patient results (confirmed and unconfirmed, conflicting results) related to kit lot 218339 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 possibly be related to the specific patient sample.Testing was performed at abbott diagnostics scarborough, inc.On retained kit lot 218611 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 kit part number 195-160 / lot 218611 and device part number 195-430wl / lot 216202.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 218611 showed that the complaint rate is 0.000352%.Additionally, a review of the complaints reported as false negative patient results (confirmed and unconfirmed, conflicting results) related to kit lot 218611 showed that the complaint rate is 0.00106%.Abbott diagnostics scarborough, inc.Was unable to determine the exact root cause of the reported issue however, it could possibly be related to the specific patient sample.Single use, device discarded.
 
Event Description
The consumer reported that her daughter had conflicting results with the binaxnow covid-19 self-test between two (2) tests performed on (b)(6) 2023 with different lot numbers.The consumer reported a positive result with the binaxnow covid-19 self-test performed on (b)(6) 2023 on a nasal sample using the provided kit swab.An additional test was performed later the same day (02may2023) that generated a negative result utilizing the same testing type with a different lot number.Confirmation testing was not performed.The consumer stated that her daughter was symptomatic with "covid-like symptoms" but did not provide any further clarification.No additional patient information, including treatment and outcome, was provided.
 
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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 Key16911885
MDR Text Key315278433
Report Number1221359-2023-01109
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 06/09/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/11/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Catalogue Number195-160
Was Device Available for Evaluation? No
Date Manufacturer Received06/07/2023
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 Initial
Patient Sequence Number1
Patient Age8 YR
Patient SexFemale
Patient Weight36 KG
Patient EthnicityNon Hispanic
Patient RaceWhite
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