FDA Adverse Event Malfunction Summary report: N

ALINITY C CREATININE

MDR report key: 10181512 · Received June 22, 2020

Report

Report Number
3002809144-2020-00493
Event Type
Malfunction
Date Received
June 22, 2020
Date of Event
May 14, 2020
Report Date
July 7, 2020
Manufacturer
ABBOTT GMBH
Product Code
CGX
UDI-DI
00380740135119
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

A REVIEW OF TICKETS DETERMINED THAT THERE IS NORMAL COMPLAINT ACTIVITY FOR ALINITY CREATININE LN 7P99 LOT 82385UN19. TRENDING REVIEW DETERMINED NO TRENDS FOR FALSELY ELEVATED RESULTS FOR THE PRODUCT. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. A REVIEW OF THE MANUFACTURING DOCUMENTATION DID NOT IDENTIFY ANY ISSUES ASSOCIATED WITH THE CUSTOMER'S OBSERVATION. A REVIEW OF THE PRODUCT LABELING CONCLUDED THAT THE ISSUE IS SUFFICIENTLY ADDRESSED. BASED ON THE INVESTIGATION, NO SYSTEMIC ISSUE OR DEFICIENCY OF THE ALINITY CREATININE LN 7P99 LOT 82385UN19 WAS IDENTIFIED.

Additional Manufacturer Narrative · 1

AN EVALUATION IS IN PROCESS. A FOLLOWUP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. ALL AVAILABLE PATIENT INFORMATION WAS INCLUDED. ADDITIONAL PATIENT DETAILS ARE NOT AVAILABLE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED A FALSELY ELEVATED CREATININE RESULT GENERATED ON THE ALINITY C ANALYZER ON ONE PATIENT. RESULTS PROVIDED: (B)(6) 2020, SID (B)(6) = 428 UMOL/L, REPEATED ON ANOTHER ALINITY C ON (B)(6) 2020 = 83 UMOL/L. REFERENCE RANGE: MALE (63.6 - 110.5 UMOL / L) FEMALE (50.4 - 98.1 UMOL / L). NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
645593 ALINITY C CREATININE CREATININE CGX ABBOTT GMBH 07P9930 82385UN19 00380740135119

Patients

Seq Age Sex Outcome Treatment
1 ALINITY C PROCESSING MODULE LIST 03R67-01| ALINITY C PROCESSING MODULE LIST 03R67-01| SERIAL (B)(6)| SERIAL (B)(6)