FDA Adverse Event Malfunction Summary report: N

ALINITY HQ PROCESSING MODULE

MDR report key: 17926964 · Received October 12, 2023

Report

Report Number
2919069-2023-00037
Event Type
Malfunction
Date Received
October 12, 2023
Date of Event
October 10, 2023
Report Date
June 27, 2024
Manufacturer
ABBOTT LABORATORIES
Product Code
GKZ
UDI-DI
00380740138851
PMA / PMN Number
K220031
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CORRECTION WAS MADE TO FIELD D2B PRO CODE. THE INCORRECT CODE OF GRZ WAS CHANGED TO GKZ. THIS WAS A TYPOGRAPHICAL ERROR CORRECTION AND THERE IS NO FURTHER IMPACT TO THE SUBMISSION.

Additional Manufacturer Narrative · 0

THE ALINITY HQ PROCESSING MODULE SERIAL NUMBER (B)(6) WAS INSPECTED, AND IT WAS NOTED THAT MULTIPLE VARIOUS TUBING, VALVES, AND CHECK VALVES IN AREAS OF THE INJECTION MANIFOLD AND STAGING PUMP REQUIRED REPLACEMENT, AND CLEANING OF THE ANALYZER WAS PERFORMED. QUALITY CONTROL RUNS WERE THEN REPORTEDLY OK. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. DATA AND INFORMATION PROVIDED BY THE CUSTOMER WERE REVIEWED AND SUPPORT THE COMPLAINT ISSUE WITHOUT INDICATION FOR ANY ADDITIONAL ISSUE. A REVIEW OF TICKET TRACKING AND TRENDING DID NOT IDENTIFY A TREND FOR THE ALINITY HQ PROCESSING MODULE, NOR WAS AN INCREASE IN COMPLAINT ACTIVITY FOUND. A REVIEW OF THE MANUFACTURING DOCUMENTATION DID NOT IDENTIFY ANY PRODUCT ISSUES. LABELING WAS REVIEWED AND WAS FOUND TO ADDRESS THE CUSTOMER REPORTED ISSUE. BASED ON THE AVAILABLE INFORMATION, NO SYSTEMIC ISSUE OR DEFICIENCY WAS IDENTIFIED FOR THE ALINITY HQ PROCESSING MODULE SERIAL NUMBER (B)(6).

Additional Manufacturer Narrative · 0

A1 PATIENT IDENTIFIER: COMPLETE SAMPLE ID'S ARE (B)(6). ALL AVAILABLE PATIENT INFORMATION WAS INCLUDED. ADDITIONAL PATIENT DETAILS ARE NOT AVAILABLE. AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSELY LOW WHITE BLOOD CELLS GENERATED FROM AN ALINITY HQ PROCESSING MODULE AND PROVIDED THE FOLLOWING RESULTS. ON (B)(6) 2023, SAMPLE ID (B)(6) INITIAL NEUTROPHIL COUNT WAS 0.12 10E3/UL AND REPEAT RESULT WAS 4.73 10E3/UL ON (B)(6) 2023, SAMPLE ID (B)(6) INITIAL WBC WAS 0.764 10E3/UL, REPEAT TEST WAS 4.12 10E3/UL. ADDITIONALLY, THE INITIAL NEUTROPHIL COUNT WAS 0.01 10E3/UL AND REPEAT RESULT WAS 1.75 10E3/UL. PER THE CUSTOMER NO DISCREPANT RESULTS WERE REPORTED TO THE PATIENT¿S MEDICAL PROVIDER. THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSELY LOW WHITE BLOOD CELLS GENERATED FROM AN ALINITY HQ PROCESSING MODULE AND PROVIDED THE FOLLOWING RESULTS. ON (B)(6) 2023, SAMPLE ID (B)(6) INITIAL NEUTROPHIL COUNT WAS 0.12 10E3/UL AND REPEAT RESULT WAS 4.73 10E3/UL. ON (B)(6) 2023, SAMPLE ID (B)(6) INITIAL WBC WAS 0.764 10E3/UL, REPEAT TEST WAS 4.12 10E3/UL. ADDITIONALLY, THE INITIAL NEUTROPHIL COUNT WAS 0.01 10E3/UL AND REPEAT RESULT WAS 1.75 10E3/UL. PER THE CUSTOMER NO DISCREPANT RESULTS WERE REPORTED TO THE PATIENT¿S MEDICAL PROVIDER. THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSELY LOW WHITE BLOOD CELLS GENERATED FROM AN ALINITY HQ PROCESSING MODULE AND PROVIDED THE FOLLOWING RESULTS. ON (B)(6) 2023, SAMPLE ID (B)(6) INITIAL NEUTROPHIL COUNT WAS 0.12 10E3/UL AND REPEAT RESULT WAS 4.73 10E3/UL ON (B)(6) 2023, SAMPLE ID (B)(6) INITIAL WBC WAS 0.764 10E3/UL, REPEAT TEST WAS 4.12 10E3/UL. ADDITIONALLY, THE INITIAL NEUTROPHIL COUNT WAS 0.01 10E3/UL AND REPEAT RESULT WAS 1.75 10E3/UL. PER THE CUSTOMER NO DISCREPANT RESULTS WERE REPORTED TO THE PATIENT¿S MEDICAL PROVIDER. THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1227412 ALINITY HQ PROCESSING MODULE COUNTER, DIFFERENTIAL CELL GKZ ABBOTT LABORATORIES 00380740138851
1505890 ALINITY HQ PROCESSING MODULE COUNTER, DIFFERENTIAL CELL GKZ ABBOTT LABORATORIES 00380740138851

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown