ALINIQ AMS
Report
- Report Number
- 3004032053-2025-00006
- Event Type
- Malfunction
- Date Received
- March 5, 2025
- Date of Event
- February 11, 2025
- Report Date
- April 8, 2025
- Manufacturer
- ABBOTT SRL
- Product Code
- JQP
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NL
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
AN EVALUATION IS IN PROCESS. A FOLLOW UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. ALL AVAILABLE PATIENT INFORMATION WAS INCLUDED. ADDITIONAL PATIENT DETAILS ARE NOT AVAILABLE. NEW PATIENT INFORMATION ADDED TO SECTION A; UPDATED SECTION B5.
THE CMV AVIDITY TEST CONSISTS OF THREE SUB-ASSAYS WITH DIFFERENT ASSAY CODES. THE DILUTION REQUIRED FOR THESE ASSAYS DEPENDS ON THE RESULT OF THE CMV IGG TEST WHICH IS PERFORMED FIRST. IF AN INSTRUMENT ERROR OCCURS, THE QPL FAILS TO SEND THE CORRECT DILUTION, CAUSING THE CMV AVIDITY TEST TO BE MEASURED WITH A STRAIGHT DILUTION LEADING TO INACCURATE RESULTS. AN ABBOTT REPRESENTATIVE IMPLEMENTED NEW ONDOWNLOAD QPL AT THE CUSTOMER SITE TO AUTOMATICALLY DELETE THE AVIDITY TEST CHANNELS IF THERE IS NO RESULT OR AN INCORRECT RESULT FOR THE CMV IGG TEST. A REVIEW OF THE LABELING ADDRESSES THE CUSTOMER¿S ISSUE AND CONFIRMED THAT LABELLING IS NOT RELATED, NOR CONTRIBUTING TO THE ISSUE IDENTIFIED IN THE CURRENT COMPLAINT. A 12-MONTH REVIEW OF SIMILAR COMPLAINTS DID NOT IDENTIFY AN INCREASE IN COMPLAINT ACTIVITY RELATED TO THE COMPLAINT ISSUE. A DEVICE HISTORY RECORD REVIEW DID NOT IDENTIFY ANY NONCONFORMANCES, POTENTIAL NONCONFORMANCE OR DEVIATIONS ASSOCIATED WITH THE CURRENT COMPLAINT ISSUE. BASED ON THE AVAILABLE INFORMATION NO DEFICIENCY RELATED TO THE CURRENT COMPLAINT ISSUE WAS IDENTIFIED.
AN EVALUATION IS IN PROCESS. A FOLLOW UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. ALL AVAILABLE PATIENT INFORMATION WAS INCLUDED. ADDITIONAL PATIENT DETAILS ARE NOT AVAILABLE.
THE CUSTOMER REPORTED AN ISSUE WITH THE AMS SOFTWARE. IF THERE IS AN INSTRUMENT/ASSAY ISSUE DUE TO THE CMV IGG NOT BEING MEASURED CORRECTLY / ERROR MESSAGE: RE-PROCESSING OF TUBE WILL BEGIN TO RERUN THE CMV IGG. THE CMV AVIDITY TESTS CAN BE SENT TO THE ALINITY FOR TESTING BEFORE A CORRECT DILUTION CAN BE APPLIED RESULTING IN THE CMV AVIDITY TEST BEING MEASURED IN STRAIGHT DILUTION INSTEAD OF THE APPROPRIATE DILUTION BASED ON THE CMV IGG RESULT. THIS CAN LEAD TO AN INCORRECT RESULT BEING REPORTED FOR THE CMV AVIDITY ASSAY. RESULTS PROVIDED ON (B)(6) 2025: FEMALE PATIENT DOB: (B)(6)1989, SID (B)(6). FIRST RESULT, NO DILUTION: CMVAVI=27.6. RETEST CORRECT DILUTION: CMVAVI=89.0 NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.
THE CUSTOMER REPORTED AN ISSUE WITH THE AMS SOFTWARE. - IF THERE IS AN INSTRUMENT/ASSAY ISSUE DUE TO THE CMV IGG NOT BEING MEASURED CORRECTLY / ERROR MESSAGE: RE-PROCESSING OF TUBE WILL BEGIN TO RERUN THE CMV IGG. THE CMV AVIDITY TESTS CAN BE SENT TO THE ALINITY FOR TESTING BEFORE A CORRECT DILUTION CAN BE APPLIED RESULTING IN THE CMV AVIDITY TEST BEING MEASURED IN STRAIGHT DILUTION INSTEAD OF THE APPROPRIATE DILUTION BASED ON THE CMV IGG RESULT. THIS CAN LEAD TO AN INCORRECT RESULT BEING REPORTED FOR THE CMV AVIDITY ASSAY. RESULTS PROVIDED ON (B)(6) 2025: FEMALE PATIENT DOB: (B)(6) 1989 SID (B)(6). FIRST RESULT, NO DILUTION: CMVAVI=27.6, RETEST CORRECT DILUTION: CMVAVI=89.0, NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.
THE CUSTOMER REPORTED AN ISSUE WITH THE AMS SOFTWARE: IF THERE IS AN INSTRUMENT/ASSAY ISSUE DUE TO THE CMV IGG NOT BEING MEASURED CORRECTLY / ERROR MESSAGE: RE-PROCESSING OF TUBE WILL BEGIN TO RERUN THE CMV IGG THE CMV AVIDITY TESTS CAN BE SENT TO THE ALINITY FOR TESTING BEFORE A CORRECT DILUTION CAN BE APPLIED RESULTING IN THE CMV AVIDITY TEST BEING MEASURED IN STRAIGHT DILUTION INSTEAD OF THE APPROPRIATE DILUTION BASED ON THE CMV IGG RESULT. THIS CAN LEAD TO AN INCORRECT RESULT BEING REPORTED FOR THE CMV AVIDITY ASSAY. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 447955 | ALINIQ AMS | CALCULATOR/DATA PROCESSING MODULE, FOR CLINICAL USE | JQP | ABBOTT SRL |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 36 YR | Female |