FDA Adverse Event Malfunction Summary report: N

ALINITY I STAT HIGH SENSITIVITY TROPONIN-I

MDR report key: 18824973 · Received March 4, 2024

Report

Report Number
3005094123-2024-00088
Event Type
Malfunction
Date Received
March 4, 2024
Date of Event
February 14, 2024
Report Date
March 18, 2024
Manufacturer
ABBOTT IRELAND DIAGNOSTICS DIVISION
Product Code
MMI
UDI-DI
00380740194079
PMA / PMN Number
K202525
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

THE COMPLAINT INVESTIGATION INCLUDED A SEARCH FOR SIMILAR COMPLAINTS, AND THE REVIEW OF COMPLAINT TEXT, TRENDING DATA, LABELLING, ACCURACY TESTING, AND DEVICE HISTORY RECORDS. RETURNS WERE NOT AVAILABLE. THE REVIEW OF HISTORICAL PERFORMANCE OF REAGENT LOT 58191UD00, WAS COMPLETED. TRENDING REVIEW DETERMINED NO TRENDS FOR THE ISSUE FOR THE PRODUCT. DEVICE HISTORY RECORD REVIEW ON LOT 58191UD00 DID NOT SHOW ANY POTENTIAL NON-CONFORMANCES, OR DEVIATIONS. ACCURACY OF THE ASSAY HAS BEEN EVALUATED WITH A RETAINED IN-HOUSE KIT AND MET ALL SPECIFICATIONS, CONFIRMING THAT THIS LOT IS MEETING THE ALINITY I STAT HIGH SENSITIVE TROPONIN-I PRODUCT REQUIREMENTS. LABELLING WAS REVIEWED AND FOUND TO ADEQUATELY ADDRESS THE ISSUE UNDER REVIEW. BASED ON THE INVESTIGATION, THE ALINITY I STAT HIGH SENSITIVITY TROPONIN-I LOT NUMBER 58191UD00 IDENTIFIED NO SYSTEMIC ISSUE AND/OR PRODUCT DEFICIENCY.

Description of Event or Problem · 0

THE CUSTOMER REPORTED A FALSELY ELEVATED ALINITY I STAT HIGH SENSITIVITY TROPONIN-I RESULT ON A FEMALE PATIENT. THE FOLLOWING RESULTS WERE PROVIDED: (B)(6) 2024 03:58 PM SID (B)(6) 184.3 NG/L, REPEATED SAME SAMPLE ON ANOTHER ALINITY ON (B)(6) 2024 = < 4 NG/K; NEW SAMPLE ON (B)(6) 2024 17:10 SID (B)(6) = < 4 NG/L. NEW SAMPLE ON (B)(6) 2024 18:26 SID (B)(6) = < 4 NG/L. REFERENCE RANGE: FEMALE <13 NG/L. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED A FALSELY ELEVATED ALINITY I STAT HIGH SENSITIVITY TROPONIN-I RESULT ON A FEMALE PATIENT. THE FOLLOWING RESULTS WERE PROVIDED: ON (B)(6) 2024 03:58 PM SID (B)(6) 184.3 NG/L, REPEATED SAME SAMPLE ON ANOTHER ALINITY ON (B)(6) 2024 = < 4 NG/K. NEW SAMPLE ON (B)(6) 2024 17:10 SID (B)(6) = < 4 NG/L. NEW SAMPLE ON (B)(6) 2024 18:26 SID (B)(6) = < 4 NG/L. REFERENCE RANGE: FEMALE <13 NG/L. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1060010 ALINITY I STAT HIGH SENSITIVITY TROPONIN-I IMMUNOASSAY METHOD, TROPONIN SUBUNIT MMI ABBOTT IRELAND DIAGNOSTICS DIVISION 58191UD00 00380740194079

Patients

Seq Age Sex Outcome Treatment
1 NA Female ALNTY I PROCESSING MODU, 03R65-01, (B)(6)| ALNTY I PROCESSING MODU, 03R65-01, (B)(6)