RE: FDA emergency approval27 Aug 2020 21:03
BinaxNOWTM COVID-19 Ag CARD
Source: Instructions for Use
Rx only (so not OTC)
INTENDED USE
The BinaxNOWTM COVID-19 Ag Card is a lateral flow immunoassay intended for the qualitative
detection of nucleocapsid protein antigen from SARS-CoV-2 in direct nasal swabs from
individuals suspected of COVID-19 by their healthcare provider within the first seven days of
symptom onset. Testing is limited to laboratories certified under the Clinical Laboratory
Improvement Amendments of 1988 (CLIA), 42 U.S.C. §263a, that meet the requirements to
perform moderate, high or waived complexity tests. This test is authorized for use at the Point of
Care (POC), i.e., in patient care settings operating under a CLIA Certificate of Waiver, Certificate
of Compliance, or Certificate of Accreditation.
The BinaxNOWTM COVID-19 Ag Card does not differentiate between SARS-CoV and SARS-CoV2.
Results are for the identification of SARS-CoV-2 nucleocapsid protein antigen. Antigen is
generally detectable in nasal swabs during the acute phase of infection. Positive results indicate
the presence of viral antigens, but clinical correlation with patient history and other diagnostic
information is necessary to determine infection status. Positive results do not rule out bacterial
infection or co-infection with other viruses. The agent detected may not be the definite cause of
disease. Laboratories within the United States and its territories are required to report all positive
results to the appropriate public health authorities.
Negative results from patients with symptom onset beyond seven days, should be treated as
presumptive and confirmation with a molecular assay, if necessary, for patient management, may
be performed. Negative results do not rule out SARS-CoV-2 infection and should not be used as
the sole basis for treatment or patient management decisions, including infection control
decisions. Negative results should be considered in the context of a patient’s recent exposures,
history and the presence of clinical signs and symptoms consistent with COVID-19.
The BinaxNOWTM COVID-19 Ag Card is intended for use by medical professionals or trained
operators who are proficient in performing rapid lateral flow tests.
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If the FDA can approve this, we will have no trouble with the spit stick.