ALINITY I STAT HIGH SENSITIVITY TROPONIN-I
Report
- Report Number
- 3005094123-2024-00225
- Event Type
- Malfunction
- Date Received
- May 2, 2024
- Date of Event
- August 16, 2023
- Report Date
- June 5, 2024
- Manufacturer
- ABBOTT IRELAND DIAGNOSTICS DIVISION
- Product Code
- MMI
- UDI-DI
- 00380740194062
- PMA / PMN Number
- K202525
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
COMPLETE INFORMATION FOR SECTION A PATIENT INFORMATION, 1. PATIENT IDENTIFIER = SID= (B)(6). AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.
THE COMPLAINT EVALUATION INCLUDED A REVIEW OF DATA AND INFORMATION PROVIDED BY THE CUSTOMER, SEARCH FOR SIMILAR COMPLAINTS, TICKET TRENDING REVIEW, LABELING REVIEW, DEVICE HISTORY RECORD REVIEW AND ACCURACY TESTING FOR ALINITY I STAT HIGH SENSITIVE TROPONIN-I REAGENT LOT 56527UD00. THE TICKET SEARCH DETERMINED THAT THERE IS AS EXPECTED COMPLAINT ACTIVITY FOR THE LIKELY CAUSE LOT. A REVIEW OF TRACKING AND TRENDING DATA DID NOT IDENTIFY ANY RELATED TRENDS FOR THE PRODUCT FOR THE ISSUE. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. DEVICE HISTORY RECORD REVIEW DID NOT IDENTIFY ANY NON-CONFORMANCES OR DEVIATIONS WITH THE COMPLAINT LOT AND COMPLAINT ISSUE. ACCURACY TESTING WAS COMPLETED USING PANELS WHICH MIMIC PATIENT SAMPLES USING AN IN-HOUSE RETAINED KIT OF LOT 56521UD00 WHICH CONTAINS THE SAME BULK MATERIAL AS LOT 56527UD00. ALL SPECIFICATIONS WERE MET INDICATING THAT LOTS 56521UD00/ 56527UD00 ARE PERFORMING ACCEPTABLY. 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 PRODUCT DEFICIENCY WAS IDENTIFIED FOR THE ALINITY I STAT HIGH SENSITIVE TROPONIN-I REAGENT LOT 56527UD00.
THE CUSTOMER OBSERVED FALSELY ELEVATED ALINITY I STAT HIGH SENSITIVE TROPONIN-I RESULT ON MULTIPLE PATIENTS ON MULTIPLE ALINITY I PROCESSING MODULES. THE RESULTS PROVIDED WERE: ON (B)(6) 2023 FEMALE PATIENT SID (B)(6) INITIAL= < 2.7 NG/L /REPEATED==< 2.7 NG/L /REDRAWN AND REPEATED SID (B)(6)=15.739 NG/L /POURED AND REPEATED=274.078 NG/L /ALIQUOT AND RE-CENTRIFUGED=< 2.7 NG/L /REDRAWN AND REPEATED SID L368126910= < 2.7 NG/L AND < 2.7 NG/L ON (B)(6) 2023 FEMALE PATIENT SID (B)(6) INITIAL=200.083 NG/L /RE-CENTRIFUGED AND REPEATED=4.458 NG/L ON (B)(6) 2023 FEMALE PATIENT SID (B)(6) ON (B)(6) INITIAL=326.551 NG/L /RE-CENTRIFUGED AND REPEATED= < 2.7 NG/L ON (B)(6) 2023 MALE PATIENT SID (B)(6) ON (B)(6) INITIAL=2820.099 NG/L /RE-CENTRIFUGED AND REPEATED= < 2.7 NG/L /REDRAWN AND REPEATED SID 2000815732= < 2.7 NG/L ON (B)(6) 2024 FEMALE PATIENT SID (B)(6) ON (B)(6) INITIAL=490.223 NG/L /RE-CENTRIFUGED AND REPEATED ON AI25677= < 2.7 NG/L /REDRAWN AND REPEATED SID 2001723339 ON BOTH ALINITY=< 2.7 NG/L /REDRAWN AND REPEATED SID (B)(6) ON (B)(6)= < 2.7 NG/L LABORATORY REFERENCE RANGE FOR TROPONIN= FEMALE: < 14 NG/L; MALE= < 35 NG/L; CRITICAL= > 200 NG/L THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT.
THE CUSTOMER OBSERVED FALSELY ELEVATED ALINITY I STAT HIGH SENSITIVE TROPONIN-I RESULT ON MULTIPLE PATIENTS ON MULTIPLE ALINITY I PROCESSING MODULES. THE RESULTS PROVIDED WERE: ON (B)(6) 2023 FEMALE PATIENT SID (B)(6) INITIAL= < 2.7 NG/L /REPEATED==< 2.7 NG/L /REDRAWN AND REPEATED SID (B)(6) =15.739 NG/L /POURED AND REPEATED=274.078 NG/L /ALIQUOT AND RE-CENTRIFUGED=< 2.7 NG/L /REDRAWN AND REPEATED SID (B)(6) = < 2.7 NG/L AND < 2.7 NG/L ON (B)(6) 2023 FEMALE PATIENT SID (B)(6) INITIAL=200.083 NG/L /RE-CENTRIFUGED AND REPEATED=4.458 NG/L. ON (B)(6) 2023 FEMALE PATIENT SID (B)(6) ON (B)(6) INITIAL=326.551 NG/L /RE-CENTRIFUGED AND REPEATED= < 2.7 NG/L. ON (B)(6) 2023 MALE PATIENT SID (B)(6) ON (B)(6) INITIAL=2820.099 NG/L /RE-CENTRIFUGED AND REPEATED= < 2.7 NG/L /REDRAWN AND REPEATED SID (B)(6) = < 2.7 NG/L. ON (B)(6) 2024 FEMALE PATIENT SID (B)(6) ON (B)(6) INITIAL=490.223 NG/L /RE-CENTRIFUGED AND REPEATED ON (B)(6) = < 2.7 NG/L /REDRAWN AND REPEATED SID (B)(6) ON BOTH ALINITY=< 2.7 NG/L /REDRAWN AND REPEATED SID (B)(6) ON (B)(6) = < 2.7 NG/L. LABORATORY REFERENCE RANGE FOR TROPONIN= FEMALE: < 14 NG/L; MALE= < 35 NG/L; CRITICAL= > 200 NG/L THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 411285 | ALINITY I STAT HIGH SENSITIVITY TROPONIN-I | IMMUNOASSAY METHOD, TROPONIN SUBUNIT | MMI | ABBOTT IRELAND DIAGNOSTICS DIVISION | 56527UD00 | 00380740194062 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | ALNTY I PROCESSING MODU, 03R65-01, (B)(6) | ALNTY I PROCESSING MODU, 03R65-01, (B)(6) | ALNTY I PROCESSING MODU, 03R65-01, (B)(6) | ALNTY I PROCESSING MODU, 03R65-01, (B)(6) |