FDA Adverse Event Malfunction Summary report: N

ALINITY I HBSAG NEXT QUALITATIVE REAGENT KIT

MDR report key: 21653234 · Received March 20, 2025

Report

Report Number
3008344661-2025-00033
Event Type
Malfunction
Date Received
March 20, 2025
Date of Event
February 28, 2025
Report Date
July 2, 2025
Manufacturer
ABBOTT IRELAND DIAGNOSTICS DIVISION
Product Code
LOM
UDI-DI
00380740160609
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MY
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SECTION B5 HAS BEEN UPDATED WITH ADDITIONAL INFORMATION PROVIDED BY THE CUSTOMER.

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER: 01R64-22 THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER: 01R64-21/31, WITH 510K/PMA/BLA NUMBER: P210003. A1: PATIENT IDENTIFIER: THE COMPLETE LIST OF SAMPLE ID'S ARE (B)(6). AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Additional Manufacturer Narrative · 0

SECTION B5 HAS BEEN UPDATED WITH ADDITIONAL INFORMATION PROVIDED BY THE CUSTOMER.

Additional Manufacturer Narrative · 0

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 IN HOUSE TESTING. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. DATA AND INFORMATION PROVIDED BY THE CUSTOMER WERE REVIEWED AND SUPPORT THE COMPLAINT ISSUE WITHOUT INDICATION FOR ANY ADDITIONAL ISSUE. REVIEW OF TRACKING AND TRENDING FOR THE DID NOT IDENTIFY AN INCREASE IN COMPLAINT ACTIVITY FOR THE ALINITY I HBSAG NEXT QUALITATIVE REAGENT AND COMPLAINT LOT RELATED TO THE COMPLAINT ISSUE. IN-HOUSE PERFORMANCE TESTING WAS COMPLETED ON THE COMPLAINT LOT, WHICH CONCLUDED ACCEPTANCE CRITERIA WAS MET, AND THE PRODUCT IS PERFORMING AS EXPECTED. DEVICE HISTORY REVIEW DID NOT IDENTIFY ANY ISSUES WITH THE COMPLAINT LOT. LABELING WAS REVIEWED AND WAS FOUND TO ADDRESS THE CUSTOMER REPORTED ISSUE. BASED ON THE INVESTIGATION, NO SYSTEMIC ISSUE OR DEFICIENCY OF THE ALINITY I HBSAG NEXT QUALITATIVE REAGENT KIT LOT 65476FZ00 WAS IDENTIFIED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSE NON-REACTIVE ALINITY I HBSAG NEXT QUALITATIVE. THE CUSTOMER PROVIDED THE FOLLOWING DATA: THE FIRST SAMPLE (SAMPLE ID (B)(6) GENERATED A RESULT OF 390.54 S/CO (REACTIVE). THIS RESULT WAS RELEASED OUT OF THE LABORATORY. 1 WEEK LATER ANOTHER SAMPLE (SAMPLE ID (B)(6) GENERATED A RESULT OF 0.30 S/CO (NON-REACTIVE). THIS RESULT WAS QUESTIONED AS THE IT DID NOT MATCH THE PATIENT RESULT. THE SAMPLE WAS REPEATED AND GENERATED RESULTS OF 9.31, 8.32, AND 8.33 S/CO. THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT. ADDITIONAL INFORMATION: PATIENT INFORMATION: PATIENT HAS A HISTORY OF HEPATITIS B AND HAS A POSITIVE HBSAG TEST WITH POSITIVE NEUTRALIZATION CONFIRMATORY TESTING. SAMPLE (B)(6) WAS TESTED WITH NEUTRALIZATION CONFIRMATORY TESTING, WHICH WAS REPORTED TO BE POSITIVE.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSE NON-REACTIVE ALINITY I HBSAG NEXT QUALITATIVE. THE CUSTOMER PROVIDED THE FOLLOWING DATA: THE FIRST SAMPLE (SAMPLE ID: (B)(6) GENERATED A RESULT OF 390.54 S/CO (REACTIVE). THIS RESULT WAS RELEASED OUT OF THE LABORATORY. 1 WEEK LATER ANOTHER SAMPLE (SAMPLE ID: (B)(6) GENERATED A RESULT OF 0.30 S/CO (NON-REACTIVE). THIS RESULT WAS QUESTIONED AS THE IT DID NOT MATCH THE PATIENT RESULT. THE SAMPLE WAS REPEATED AND GENERATED RESULTS OF 9.31, 8.32, AND 8.33 S/CO. THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSE NON-REACTIVE ALINITY I HBSAG NEXT QUALITATIVE. THE CUSTOMER PROVIDED THE FOLLOWING DATA: THE FIRST SAMPLE (SAMPLE ID (B)(6) GENERATED A RESULT OF 390.54 S/CO (REACTIVE). THIS RESULT WAS RELEASED OUT OF THE LABORATORY. 1 WEEK LATER ANOTHER SAMPLE (SAMPLE ID (B)(6) GENERATED A RESULT OF 0.30 S/CO (NON-REACTIVE). THIS RESULT WAS QUESTIONED AS THE IT DID NOT MATCH THE PATIENT RESULT. THE SAMPLE WAS REPEATED AND GENERATED RESULTS OF 9.31, 8.32, AND 8.33 S/CO. THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT. ADDITIONAL INFORMATION: PATIENT INFORMATION: PATIENT HAS A HISTORY OF HEPATITIS B AND HAS A POSITIVE HBSAG TEST WITH POSITIVE NEUTRALIZATION CONFIRMATORY TESTING. SAMPLE (B)(6) WAS TESTED WITH NEUTRALIZATION CONFIRMATORY TESTING, WHICH WAS REPORTED TO BE POSITIVE. ADDITIONAL INFORMATION: SAMPLE ID (B)(6) WAS REPEATED AND GENERATED A RESULT OF 391.66 S/CO.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSE NON-REACTIVE ALINITY I HBSAG NEXT QUALITATIVE. THE CUSTOMER PROVIDED THE FOLLOWING DATA: THE FIRST SAMPLE (SAMPLE ID (B)(6) GENERATED A RESULT OF 390.54 S/CO (REACTIVE). THIS RESULT WAS RELEASED OUT OF THE LABORATORY. 1 WEEK LATER ANOTHER SAMPLE (SAMPLE ID (B)(6) GENERATED A RESULT OF 0.30 S/CO (NON-REACTIVE). THIS RESULT WAS QUESTIONED AS THE IT DID NOT MATCH THE PATIENT RESULT. THE SAMPLE WAS REPEATED AND GENERATED RESULTS OF 9.31, 8.32, AND 8.33 S/CO. THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT. ADDITIONAL INFORMATION: PATIENT INFORMATION: PATIENT HAS A HISTORY OF HEPATITIS B AND HAS A POSITIVE HBSAG TEST WITH POSITIVE NEUTRALIZATION CONFIRMATORY TESTING. SAMPLE (B)(6) WAS TESTED WITH NEUTRALIZATION CONFIRMATORY TESTING, WHICH WAS REPORTED TO BE POSITIVE. ADDITIONAL INFORMATION: SAMPLE ID (B)(6) WAS REPEATED AND GENERATED A RESULT OF 391.66 S/CO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1306743 ALINITY I HBSAG NEXT QUALITATIVE REAGENT KIT TEST, HEPATITIS B (B CORE, BE ANTIGEN, BE ANTIBODY, B CORE IGM) LOM ABBOTT IRELAND DIAGNOSTICS DIVISION 65476FZ00 00380740160609

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)