FDA Adverse Event Malfunction Summary report: N

MAGNESIUM

MDR report key: 18302043 · Received December 11, 2023

Report

Report Number
3005094123-2023-00364
Event Type
Malfunction
Date Received
December 11, 2023
Date of Event
December 1, 2023
Report Date
February 22, 2024
Manufacturer
ABBOTT IRELAND DIAGNOSTICS DIVISION
Product Code
JGJ
UDI-DI
00380740176532
PMA / PMN Number
K181748
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

AFTER FURTHER EVALUATION, THE SUSPECT MEDICAL DEVICE WAS CHANGED FROM ALINITY C MAGNESIUM, LIST 08P19-34, ABBOTT IRELAND DIAGNOSTICS DIVISION, LONGFORD, IRELAND TO THE ALINITY C PROCESSING MODULE, LIST 03R67-01, ABBOTT LABORATORIES, IRVING, TEXAS, USA. MDR NUMBER 3016438761-2024-00113-00 HAS BEEN SUBMITTED AND ALL FURTHER INFORMATION WILL BE DOCUMENTED UNDER THAT MDR NUMBER.

Additional Manufacturer Narrative · 0

AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. COMPLETE INFORMATION FOR SECTION A1 PATIENT IDENTIFIER IS (B)(6).

Description of Event or Problem · 0

THE CUSTOMER OBSERVED FALSELY ELEVATED ALINITY C MAGNESIUM RESULTS FOR ONE PATIENT. THE FOLLOWING DATA WAS PROVIDED WHICH WAS NOT REPORTED OUT OF THE LAB: SID (B)(6)PROCESSED ON (B)(6)2023 INITIAL MAGNESIUM RESULT = 3.44 MMOL/L REPEAT 0.53 MMOL/L REFERENCE RANGE = 0.66-1.07 MMOL/L NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Description of Event or Problem · 0

THE CUSTOMER OBSERVED FALSELY ELEVATED ALINITY C MAGNESIUM RESULTS FOR ONE PATIENT. THE FOLLOWING DATA WAS PROVIDED WHICH WAS NOT REPORTED OUT OF THE LAB: SID (B)(6) PROCESSED ON (B)(6) 2023 INITIAL MAGNESIUM RESULT = 3.44 MMOL/L REPEAT 0.53 MMOL/L REFERENCE RANGE = 0.66-1.07 MMOL/L NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2180550 MAGNESIUM PHOTOMETRIC METHOD, MAGNESIUM JGJ ABBOTT IRELAND DIAGNOSTICS DIVISION 52268UD00 00380740176532

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown ALNTY C PROCESSING MODU, 03R67-01, (B)(6)| ALNTY C PROCESSING MODU, 03R67-01, (B)(6)