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U.S. Department of Health and Human Services

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

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ABBOTT DIAGNOSTICS SCARBOROUGH, INC. BINAX NOW COVID-19 AG CARD; CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM Back to Search Results
Catalog Number 195160
Device Problem Appropriate Term/Code Not Available (3191)
Patient Problem Epistaxis (4458)
Event Date 10/06/2021
Event Type  Injury  
Manufacturer Narrative
The investigation is still in progress.A supplemental report will be provided after completion.
 
Event Description
The user reported she has performed (4) binaxnow¿ covid-19 antigen self tests but when she swabs her nostrils it causes a nose bleed.The user reports the swab is saturated with blood.The user reported that the swab was inserted 1/2 inch into the nostril.The user statesthat the blue control line on the binaxnow¿ covid-19 antigen self test disappears after the test is performed.The user went to a medical professional and the user explained what happened.The user reported that the medical professional was not sure why the swabs was causing the nose bleeds.The medical professional stated the swabs did not cause any medical issues.
 
Manufacturer Narrative
A product deficiency was not identified and no further action is required.Based on the above summary, the investigation is deemed complete.The product will continue to be monitored and tracked.
 
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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 Key12719106
MDR Text Key279001456
Report Number1221359-2021-03363
Device Sequence Number1
Product Code QKP
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
EUA202537
Number of Events Reported1
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 Number195160
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 10/06/2021
Initial Date FDA Received10/29/2021
Supplement Dates Manufacturer Received04/14/2022
Supplement Dates FDA Received05/05/2022
Was Device Evaluated by Manufacturer? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Other;
Patient SexFemale
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