FDA Adverse Event Malfunction Summary report: N

ALINIQ AMS

MDR report key: 21525123 · Received March 5, 2025

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

Additional Manufacturer Narrative · 0

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.

Additional Manufacturer Narrative · 0

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.

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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.

Description of Event or Problem · 0

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.

Description of Event or Problem · 0

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