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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 Device Handling Problem (3265)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/21/2022
Event Type  Injury  
Event Description
The consumer reported that the reagent from the binaxnow covid-19 ag self-test came into contact with their lips.The consumer indicated that they were not feeling any effects from being exposed to the reagent.No additional information was reported.
 
Manufacturer Narrative
The investigation is still in progress.A supplemental report will be provided after completion.Single use device, discarded.
 
Manufacturer Narrative
Investigation summary: a product deficiency was not identified.Abbott technical services provide the consumer with the safety data sheet for the binaxnow covid-19 ag self-test.The reported health status is anticipated in nature and severity for binaxnow covid-19 ag card.D4-expiration date.H3 other text : single use device, discarded.
 
Event Description
The consumer reported that the reagent from the binaxnow covid-19 ag self-test came into contact with their lips.The consumer indicated that they were not feeling any effects from being exposed to the reagent.No additional information was reported.
 
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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 Key15870875
MDR Text Key304375302
Report Number1221359-2022-10193
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 02/16/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/28/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Expiration Date05/01/2024
Device Catalogue Number195-160
Device Lot Number211610
Was Device Available for Evaluation? No
Date Manufacturer Received02/15/2023
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 Outcome(s) Other;
Patient Age71 YR
Patient SexFemale
Patient Weight50 KG
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