Brand Name | BINAX NOW COVID-19 AG CARD |
Type of Device | CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM |
Manufacturer (Section D) |
ABBOTT DIAGNOSTICS SCARBOROUGH, INC. |
10 southgate road |
scarborough, |
ME 04074 |
|
Manufacturer Contact |
erina
marshall
|
10 southgate road |
scarborough, ME 04074
|
|
MDR Report Key | 12719106 |
MDR Text Key | 279001456 |
Report Number | 1221359-2021-03363 |
Device Sequence Number | 1 |
Product Code |
QKP
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | EUA202537 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Consumer |
Reporter Occupation |
Other
|
Type of Report
| Initial,Followup |
Report Date |
05/04/2022 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Catalogue Number | 195160 |
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
10/06/2021 |
Initial Date FDA Received | 10/29/2021 |
Supplement Dates Manufacturer Received | 04/14/2022
|
Supplement Dates FDA Received | 05/05/2022
|
Was Device Evaluated by Manufacturer? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
Patient Sex | Female |
|
|