FDA Adverse Event Malfunction Summary report: N

ALINITY I HBSAG QUALITATIVE II REAGENT KIT

MDR report key: 20947633 · Received December 16, 2024

Report

Report Number
3008344661-2024-00154
Event Type
Malfunction
Date Received
December 16, 2024
Date of Event
November 29, 2024
Report Date
January 15, 2025
Manufacturer
ABBOTT IRELAND DIAGNOSTICS DIVISION
Product Code
LOM
UDI-DI
00380740130404
PMA / PMN Number
P110029
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SN
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SECTION H6 MEDICAL DEVICE PROBLEM CODE WAS UPDATED FROM A090810 TO A090803. THE COMPLAINT INVESTIGATION 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 FIELD DATA REVIEW. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. A SEARCH FOR SIMILAR COMPLAINTS DID NOT IDENTIFY AN INCREASE IN COMPLAINT ACTIVITY FOR LOT 63337FZ00. TRENDING REVIEW DID NOT IDENTIFY ANY TRENDS REGARDING COMMONALITIES FOR LOT NUMBER 63337FZ00 AND COMPLAINT ISSUE. DEVICE HISTORY RECORD REVIEW DID NOT IDENTIFY ANY NON-CONFORMANCES, POTENTIAL NON-CONFORMANCES, OR DEVIATIONS WITH LOT 63337FZ00 AND THE COMPLAINT ISSUE. THE OVERALL PERFORMANCE OF ALINITY I HBSAG QUALITATIVE II WAS REVIEWED USING FIELD DATA FROM CUSTOMERS WORLDWIDE. REVIEW SHOWS THAT THE MEDIAN PATIENT RESULT FOR LOT 63337FZ00 IS WITHIN ESTABLISHED LIMITS AND COMPARABLE WITH OTHER LOTS IN THE FIELD, CONFIRMING NO SYSTEMIC ISSUE FOR THE LOT. LABELING WAS REVIEWED AND FOUND TO BE ADEQUATE. ALINITY I HBSAG 8P10 IS A HIGHLY SENSITIVE ASSAY WHICH MIGHT BE SUSCEPTIBLE TO INTERFERING SUBSTANCES THAT MIGHT TRIGGER POSITIVE ASSAY READINGS. THE CUSTOMER FOLLOWED PRODUCT LABELLING INSTRUCTIONS TO PERFORM A DOUBLE RE-TEST BOTH GIVING NONREACTIVE RESULTS; THEREFORE, THE SPECIMEN IS CONSIDERED NEGATIVE FOR HBSAG. PER PRODUCT LABELING, ARCHITECT HBSAG QUALITATIVE CONFIRMATORY USES THE PRINCIPLE OF SPECIFIC ANTIBODY NEUTRALIZATION TO CONFIRM THE PRESENCE OF HBSAG IN SAMPLES FOUND TO BE REPEATEDLY REACTIVE. IN THIS CASE IT IS POSSIBLE THAT THE PATIENT IS BORDERLINE REACTIVE/NONREACTIVE, AND THE CONFIRMED POSITIVE RESULT MAY BE DUE TO THE LOWER CUTOFF OF = 0.7 S/CO FOR THE CONFIRMATORY ASSAY VERSUS = 1.00 S/CO FOR THE HBSAG QUALITATIVE ASSAY. BASED ON THE INVESTIGATION THE ALINITY I HBSAG QUALITATIVE II REAGENT LOT 63337FZ00 IS PERFORMING AS INTENDED, NO SYSTEMIC ISSUE OR DEFICIENCY OF THE ALINITY I HBSAG QUALITATIVE II REAGENT WAS IDENTIFIED.

Additional Manufacturer Narrative · 0

AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER: 8P10-32 THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER: 8P10-21/-31, WITH 510K/PMA/BLA NUMBER: P110029.

Description of Event or Problem · 0

THE CUSTOMER OBSERVED FALSE NONREACTIVE ALINITY I HBSAG QUALITATIVE II RESULTS FOR ONE SAMPLE. THE FOLLOWING DATA WAS PROVIDED: INITIAL RESULT = 1.07 S/CO, REPEATS = 0.97 S/CO AND 0.90 S/CO % NEUTRALIZATION CONFIRMATORY RESULT = POSITIVE. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Description of Event or Problem · 0

THE CUSTOMER OBSERVED FALSE NONREACTIVE ALINITY I HBSAG QUALITATIVE II RESULTS FOR ONE SAMPLE. THE FOLLOWING DATA WAS PROVIDED: INITIAL RESULT = 1.07 S/CO, REPEATS = 0.97 S/CO AND 0.90 S/CO, % NEUTRALIZATION CONFIRMATORY RESULT = POSITIVE, NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
274796 ALINITY I HBSAG QUALITATIVE II REAGENT KIT TEST, HEPATITIS B (B CORE, BE ANTIGEN, BE ANTIBODY, B CORE IGM) LOM ABBOTT IRELAND DIAGNOSTICS DIVISION 63337FZ00 00380740130404

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown ALNTY I PROCESSING MODU, 03R65-01, AI27159.| ALNTY I PROCESSING MODU, 03R65-01, AI27159.