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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ID NOW COVID-19 2.0 TEST KIT 24T (EUA); REAGENTS, 2019-NOVEL CORONAVIRUS NUCLEIC ACID

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ABBOTT DIAGNOSTICS SCARBOROUGH, INC. ID NOW COVID-19 2.0 TEST KIT 24T (EUA); REAGENTS, 2019-NOVEL CORONAVIRUS NUCLEIC ACID Back to Search Results
Catalog Number 192-000
Device Problem Unable to Obtain Readings (1516)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/01/2023
Event Type  malfunction  
Event Description
The customer reported an unknown number of invalid results with the id now covid-19 2.0 performed on an unknown date.Repeat testing was performed on an unknown date generating invalid results.Confirmation testing was not performed.The customer reported the patient experienced a delay in surgery due to the test results.Although requested, no additional patient information including the type of surgery that was delayed, treatment and outcome, was provided.
 
Manufacturer Narrative
The event date provided is an estimate as the exact date of occurrence was not provided.The remainder of the investigation remains in progress.A supplemental report will be provided after completion.Single use, device discarded.
 
Manufacturer Narrative
The date provided in b3 is an estimate as the exact date of occurrence was not provided.Testing was performed at abbott diagnostics scarborough, inc.On retained kit lot 1092567 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 192-000/ lot: 1092567, test base part number 192-430/ lot: 1092567.The lot met the required release specifications.A review of the complaints reported as invalid patient results (confirmed and unconfirmed, conflicting results) related to kit lot 1092567 showed that the complaint rate is (b)(4).Abbott diagnostics scarborough, inc.Was unable to determine the exact root cause of the reported issue; however, a possible assignable root cause is patient sample interference.H3 other text : single use, device discarded.
 
Event Description
The customer reported an unknown number of invalid results with the id now covid-19 2.0 performed on an unknown date.Repeat testing was performed on an unknown date generating invalid results.Confirmation testing was not performed.The customer reported the patient experienced a delay in surgery due to the test results.Although requested, no additional patient information including the type of surgery that was delayed, treatment and outcome, was provided.
 
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Brand Name
ID NOW COVID-19 2.0 TEST KIT 24T (EUA)
Type of Device
REAGENTS, 2019-NOVEL CORONAVIRUS NUCLEIC ACID
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 Key16437439
MDR Text Key310259225
Report Number1221359-2023-00392
Device Sequence Number1
Product Code QJR
UDI-Device Identifier00811877011354
UDI-Public00811877011354
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
EUA210517
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 05/16/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/24/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date10/29/2023
Device Catalogue Number192-000
Device Lot Number1092567
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received05/12/2023
Was Device Evaluated by Manufacturer? No
Date Device Manufactured10/04/2022
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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