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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ABBOTT BINAXNOW COVID-19 ANTIGEN SELF TEST - A PRODUCT, NOT A DEVICE; CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM

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ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ABBOTT BINAXNOW COVID-19 ANTIGEN SELF TEST - A PRODUCT, NOT A DEVICE; CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM Back to Search Results
Model Number 195-160
Device Problems Labelling, Instructions for Use or Training Problem (1318); Product Quality Problem (1506); Component Missing (2306)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/24/2021
Event Type  malfunction  
Event Description
I bought an abbott binaxnow at home antigen self test for covid because i am going to thanksgiving dinner at friends tomorrow, and i want to make sure i am not positive for covid.I read the directions twice before starting the process.The directions are very detailed and explicit, and great emphasis is placed on following them exactly.Everything went fine until i inserted the swab into the card and was to fold it over and seal the card closed for 15 minutes.When i went to seal the card closed by exposing an adhesive strip on the right side of the fold over card, i realized that i couldn't do so.There was no adhesive strip and nothing to peel off to expose one.I placed my cell phone on the right hand side to hold it closed after i folded the card in half and set my timer for 15 minutes.I called the abbott number to report the quality problem but they are only open during business hours.I left a message.Given that the cost of the abbott binaxnow test is about (b)(6) for two tests, i think it should be complete and users should be able to follow the directions - which should match the test kit.My test result was negative.All details are above.Fda safety report id# (b)(4).
 
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Brand Name
ABBOTT BINAXNOW COVID-19 ANTIGEN SELF TEST - A PRODUCT, NOT A DEVICE
Type of Device
CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM
Manufacturer (Section D)
ABBOTT DIAGNOSTICS SCARBOROUGH, INC.
MDR Report Key12892736
MDR Text Key281580950
Report NumberMW5105649
Device Sequence Number1
Product Code QKP
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 11/24/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/29/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Expiration Date05/01/2022
Device Model Number195-160
Device Lot Number168658
Was Device Available for Evaluation? Yes
Patient Sequence Number1
Patient Age73 YR
Patient SexFemale
Patient Weight80 KG
Patient EthnicityNon Hispanic
Patient RaceWhite
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