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U.S. Department of Health and Human Services

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

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ABBOTT DIAGNOSTICS SCARBOROUGH, INC. BINAXNOW COVID-19 TEST; CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM Back to Search Results
Lot Number 192468
Device Problems Labelling, Instructions for Use or Training Problem (1318); Detachment of Device or Device Component (2907)
Patient Problem Insufficient Information (4580)
Event Date 06/23/2022
Event Type  Injury  
Event Description
While performing the binaxnow covid test, which i had done previously with another product without difficulty, the end of the testing stick came off deep in my nose.I had to go to the emergency room to have this removed.Also, the kit came with 2 sets of directions in spanish, none in english.Some instructions were found online yet kept referring to the information included with the kit.Lot#:192468 ref: 195-160, exp 06-01-2023.Date of use: (b)(6) 2022.Suspected covid.
 
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Brand Name
BINAXNOW COVID-19 TEST
Type of Device
CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM
Manufacturer (Section D)
ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
MDR Report Key14945571
MDR Text Key295496808
Report NumberMW5110699
Device Sequence Number1
Product Code QKP
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 07/04/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/06/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Expiration Date06/01/2023
Device Lot Number192468
Was Device Available for Evaluation? No
Patient Sequence Number1
Treatment
FUROSEMIDE; METOPROLOL ; MULTIVITAMIN; POTASSIUM; TOPIRAMATE ; VITAMIN D; WARFARIN
Patient Outcome(s) Required Intervention;
Patient Age72 YR
Patient SexMale
Patient Weight104 KG
Patient EthnicityNon Hispanic
Patient RaceWhite
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