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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 False Negative Result (1225)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/20/2024
Event Type  malfunction  
Manufacturer Narrative
The remainder of the investigation remains in progress.A supplemental report will be provided after completion or upon receipt of new information.
 
Event Description
Wife reported a false negative result on behalf of the consumer with the binaxnow covid-19 ag self test performed on (b)(6) 2024 with a nasal sample.No confirmation testing was performed.The consumer had symptoms such as coughing, new loss of taste and body aches.No additional patient information, including treatment and outcome, was provided.
 
Manufacturer Narrative
Testing was performed at abbott diagnostics scarborough, inc.On retained kit lot 227505 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 227505, test base part number 195-430h/ lot 223646.The lot met the required release specifications.A review of the complaints reported as false negative patient results (confirmed and unconfirmed, conflicting results) related to kit lot 227505 showed that the complaint rate is 0.000986%.Abbott diagnostics scarborough was unable to determine the exact root cause of the reported issue.
 
Event Description
Wife reported a false negative result on behalf of the consumer with the binaxnow covid-19 ag self test performed on (b)(6) 2024 with a nasal sample.No confirmation testing was performed.The consumer had symptoms such as coughing, new loss of taste and body aches.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 Key19006594
MDR Text Key338981278
Report Number1221359-2024-00305
Device Sequence Number1
Product Code QKP
UDI-Device Identifier00811877011408
UDI-Public01008118770114081724090510227505
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 04/26/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/29/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Catalogue Number195-160
Device Lot Number227505
Was Device Available for Evaluation? No
Date Manufacturer Received04/17/2024
Was Device Evaluated by Manufacturer? No
Date Device Manufactured01/05/2024
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 Age76 YR
Patient SexMale
Patient Weight62 KG
Patient EthnicityNon Hispanic
Patient RaceWhite
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