ORA QUICK HIV-1/2 OMT RAPID ANTIBODY TEST PRIVATE AT HOME SALIVA CHECK NO BLOOD

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-11-08 for ORA QUICK HIV-1/2 OMT RAPID ANTIBODY TEST PRIVATE AT HOME SALIVA CHECK NO BLOOD manufactured by Unk.

Event Text Entries

[127355442] Problem 1: i am writing to report an (b)(6) seller, that currently selling fake ora quick hiv-1/2 test from (b)(6) united states website. I bought an ora quick hiv-1/ test from this seller on (b)(6) united states website, (b)(6) item number: (b)(4), (b)(6). Firstly, i opened the box and found out all written in (b)(4), and instructions inside 'written named as aware hiv 1/2 omt test' and then used it to swab around my mouth, and test result showed as defective. Would fda officer investigate this issue? Problem 2: in addition, this (b)(6) seller is also currently selling another prescription medical devices as below: (not fda approved) hiv1/2 (aids) and syphilis (tp) combo test one step 2in1 check sti std screen kit (b)(6) item number: (b)(4). (b)(6). This ebay seller completely ignores us law, and selling (non-fda approved) prescription medical devices to public, put people's health in high risk, would fda officer resolve this health matter? (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5081169
MDR Report Key8055028
Date Received2018-11-08
Date of Report2018-11-05
Date of Event2018-11-04
Date Added to Maude2018-11-09
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameORA QUICK HIV-1/2 OMT RAPID ANTIBODY TEST PRIVATE AT HOME SALIVA CHECK NO BLOOD
Generic NameORA QUICK HIV-1/2 OMT RAPID ANTIBODY TEST PRIVATE AT HOME SALIVA CHECK NO BLOOD
Product CodeMTL
Date Received2018-11-08
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening; 2. Required No Informationntervention; 3. Deathisabilit 2018-11-08

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