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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 Fumes or Vapors (2529)
Patient Problem Skin Burning Sensation (4540)
Event Date 09/27/2022
Event Type  Injury  
Event Description
The consumer reported on having chemical smell in entire her niece's house with binaxnow covid-19 ag self-test on (b)(6) 2022.The consumer had a burning sensation on her face when she opened the binax now antigen test.Per consumer, she called the fire department, and was told that she was experiencing irritant.No additional patient information, including treatment and outcome, was provided.
 
Manufacturer Narrative
The investigation is still in progress.A supplemental report will be provided after completion.Device discarded, single use.
 
Event Description
The consumer reported on having chemical smell in entire her niece's house with binaxnow covid-19 ag self-test on (b)(6) 2022.The consumer had a burning sensation on her face when she opened the binax now antigen test.Per consumer, she called the fire department, and was told that she was experiencing irritant.No additional patient information, including treatment and outcome, was provided.
 
Manufacturer Narrative
The information to enable further investigation, such as the kit's lot number, was not provided and an investigation was not able to be performed.Notwithstanding, complaints against these trend codes are monitored to identify and track any out-of-trend/unexpected performance at the lot and product family level.Customer was provided the relevant sds.In conclusion, abbott diagnostics scarborough was unable to determine the exact root cause of the reported issues as no information was provided for investigation.H3 other text : device discarded, single use.
 
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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 Key15659775
MDR Text Key302333084
Report Number1221359-2022-10022
Device Sequence Number1
Product Code QKP
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 12/21/2022
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 Lay User/Patient
Device Catalogue Number195-160
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 09/28/2022
Initial Date FDA Received10/24/2022
Supplement Dates Manufacturer Received12/20/2022
Supplement Dates FDA Received12/21/2022
Was Device Evaluated by Manufacturer? No
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 Age35 YR
Patient SexFemale
Patient EthnicityNon Hispanic
Patient RaceBlack Or African American
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