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U.S. Department of Health and Human Services

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

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ABBOTT DIAGNOSTICS SCARBOROUGH, INC. BINAXNOW COVID-19 AG CARD HOME TEST; CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM Back to Search Results
Model Number 195-100
Device Problem Expiration Date Error (2528)
Patient Problem Insufficient Information (4580)
Event Date 09/28/2021
Event Type  malfunction  
Event Description
Ordered biaxnow covid-19 home test from (b)(6) on (b)(6) 2021 to replace kits previously ordered in (b)(6) that were about to expire.Receive the 6 kits on 09/28/2021 and, again, kits are short dated making it impossible to use serially over time.(b)(6) refused to replace the kits.Ref: 195-100, lot: 139380, expiration: 2021-09-18 (+3 months extension).Sold by (b)(6).Fda safety report id # (b)(4).
 
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Brand Name
BINAXNOW COVID-19 AG CARD HOME TEST
Type of Device
CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM
Manufacturer (Section D)
ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
MDR Report Key12561745
MDR Text Key274521474
Report NumberMW5104305
Device Sequence Number4
Product Code QKP
UDI-Device Identifier00811877011330
UDI-Public(01)00811877011330
Combination Product (y/n)Y
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 09/28/2021
6 Devices were Involved in the Event: 1   2   3   4   5   6  
1 Patient was Involved in the Event
Date FDA Received09/30/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator No Information
Device Expiration Date09/18/2021
Device Model Number195-100
Device Catalogue Number195-100
Device Lot Number138380
Was Device Evaluated by Manufacturer? No Information
Type of Device Usage N
Patient Sequence Number1
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