MAUDE Adverse Event Report: ABBOTT DIAGNOSTICS SCARBOROUGH, INC. BINAXNOW COVID-19 ANTIGEN SELF TEST; CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM.

Catalog Number 195-160

Device Problem False Negative Result (1225)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 08/06/2022

Event Type  malfunction  

Manufacturer Narrative

This report is being submitted to provide the initial report and investigation conclusion.Testing was performed at abbott diagnostics (b)(4), inc.On retained kit lot 187871 with internal positive quality control samples and negative quality control swabs.All test results were valid and performed as expected.Additionally, the manufacturing records and quality control release testing was reviewed for test kit part number 195-160 / lot 187871 and device part number 195-430h / lot 184143.The lot met the required release specifications.A review of the complaints reported as false negative patient results (confirmed and unconfirmed, conflicting results) related to kit lot 187871 showed that the complaint rate is (b)(4).In conclusion, abbott diagnostics (b)(4) was unable to determine the exact root cause of the reported issue; however, it could possibly be related to issues including the self-test user performance, interpretation of the result, or the specific patient sample.Please reference mfr report numbers: 1221359-2022-04315, and 1221359-2022-04336 - 1221359-2022-04338.

Event Description

The costumer reported four(4) false negative patient result with the binax now covid-19 antigen self-test performed on multiple dates throughout the first week of (b)(6) 2022.This mfr.Report addresses patient result four (4) of four (4).The consumer reported a false negative result with the binax now covid-19 antigen self-test performed on (b)(6) 2022 using a kitted nasal swab sample that generated a negative result.Confirmation pcr testing was performed on (b)(6) 2022 at a local pharmacy that generated a positive result.No additional patient information, including treatment and outcome, was provided.

• Brand Name: BINAXNOW COVID-19 ANTIGEN SELF TEST
• 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
• MDR Report Key: 15325601
• MDR Text Key: 305161263
• Report Number: 1221359-2022-04338
• Device Sequence Number: 1
• Product Code: QKP
• UDI-Device Identifier: 00811877011408
• UDI-Public: 01008118770114081723051210187871
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: EUA210264
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Consumer
• Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial
• Report Date: 08/31/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 08/31/2022
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Device Catalogue Number: 195-160
• Device Lot Number: 187871
• Was Device Available for Evaluation?: No
• Date Manufacturer Received: 08/10/2022
• 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 Number: 1