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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: LUMIRADX UK LTD. LUMIRADX SARS-COV-2 AG TEST STRIP KIT; CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM,

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LUMIRADX UK LTD. LUMIRADX SARS-COV-2 AG TEST STRIP KIT; CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM, Back to Search Results
Catalog Number L016000109048
Device Problem False Positive Result (1227)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/28/2021
Event Type  malfunction  
Manufacturer Narrative
This event was reported to the fda under report # mw5099139.Patient reported as asymptomatic.Initial lumiradx sars-cov-2 ag test was performed on (b)(6) 2021 with strip lot 5000267.The initial test result was positive.Confirmatory testing was performed via polymerase chain reaction (pcr).The confirmatory test result was negative.Product handling practices observed and reported by the patient are consistent with product insert and swabs used have been validated for use with the lumiradx sars-cov-2 ag test.No patient harm, injury or adverse health consequences were communicated by the customer to lumiradx for the reported discordant result.A review of the product risk assessment confirmed the applicable risk categories remain appropriate for the reported event.A review of manufacturing records identified that the reported strip lot met all defined qc criteria at the time it was released, and that in-house testing confirmed strip lot met expected performance criteria for use in the field.Trending data for discordant results were reviewed and the occurrence rate for the reported strip lot demonstrated field performance within specification of product claims, until expiry, relative to the quantity of strips in the field.Investigation conclusion: strip lot was also subject to field correction in the form of an instrument software update, as documented under fda recall z-1312-2021, to correct a manufacturing issue (valve run out) that was attributed with an increased risk of false positives in a certain portion of strips within the lot.No further investigation is considered necessary at this time.The remaining strips from the lot that were not subject to the field correction, were used within the field until expiry and demonstrated field performance within the specification of product claims, relative to the quantity of strips in the field.
 
Event Description
The patient reported a suspected false (incorrect) positive result from a rapid result covid test system, report mw5099139 refers.
 
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Brand Name
LUMIRADX SARS-COV-2 AG TEST STRIP KIT
Type of Device
CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM,
Manufacturer (Section D)
LUMIRADX UK LTD.
dumyat business park
alloa, clackmannanshire FK10 2PB
UK  FK10 2PB
Manufacturer Contact
tim blicharz
221 crescent street
5th floor
waltham, MA 02453
6176219775
MDR Report Key13118841
MDR Text Key286459192
Report Number3012642695-2021-01554
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 Manufacturer
Source Type Other
Reporter Occupation Other
Remedial Action Recall
Type of Report Initial
Report Date 12/30/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/30/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date03/07/2021
Device Catalogue NumberL016000109048
Device Lot Number5000267
Was Device Available for Evaluation? No
Date Manufacturer Received01/30/2021
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Removal/Correction NumberZ-1312-2021
Patient Sequence Number1
Treatment
ASPEN SURGICAL SWABS; LUMIRADX SMART DIAGNOSTIC PLATFORM
Patient Age32 YR
Patient SexFemale
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