FDA Adverse Event Malfunction Summary report: N

ALINITY I ANTI-HBS REAGENT KIT

MDR report key: 21859586 · Received April 17, 2025

Report

Report Number
3008344661-2025-00042
Event Type
Malfunction
Date Received
April 17, 2025
Date of Event
March 10, 2025
Report Date
June 5, 2025
Manufacturer
ABBOTT IRELAND DIAGNOSTICS DIVISION
Product Code
LOM
UDI-DI
00380740159900
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER: 7P89 THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER: 7P88, WITH 510K/PMA/BLA NUMBER: P050051. COMPLETE INFORMATION FOR SECTION A PATIENT INFORMATION, 1. PATIENT IDENTIFIER = SID= (B)(6). ALL AVAILABLE PATIENT INFORMATION WAS INCLUDED. ADDITIONAL PATIENT DETAILS ARE NOT AVAILABLE. AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Additional Manufacturer Narrative · 0

THE COMPLAINT EVALUATION INCLUDED A REVIEW OF DATA AND INFORMATION PROVIDED BY THE CUSTOMER, SEARCH FOR SIMILAR COMPLAINTS, TICKET TRENDING REVIEW, LABELING REVIEW AND DEVICE HISTORY RECORD REVIEW FOR ALINITY I ANTI-HBS REAGENT, LOT 68373FZ01. REVIEW OF TRACKING AND TRENDING FOR THE ALINITY I ANTI-HBS ASSAY DID NOT IDENTIFY AN INCREASE IN COMPLAINT ACTIVITY RELATED TO THE COMPLAINT ISSUE. ADDITIONALLY, AN INCREASE IN COMPLAINT ACTIVITY WAS NOT IDENTIFIED FOR REAGENT LOT 68373FZ01. 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. A MANUFACTURING DOCUMENTATION FOR THE LIKELY CAUSE LOT DID NOT IDENTIFY ANY ISSUES ASSOCIATED WITH THE COMPLAINT ISSUE. 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 ANTI-HBS REAGENT, LOT 68373FZ01.

Description of Event or Problem · 0

THE CUSTOMER OBSERVED FALSE REACTIVE ALINITY I ANTI-HBS RESULTS ON ONE PATIENT WHICH NEGATIVE FROM DIFFERENT SPECIMEN OF SAME PATIENT. THE RESULTS PROVIDED WERE: ON (B)(6) 2025 SID: (B)(6), INITIAL=18.58 MIU/ML (>OR =10 MIU/ML CONSIDER BEING PROTECTIVE AGAINST HEPATITIS B VIRAL INFECTION) /REDRAWN AND REPEATED ON (B)(6) 2025=0.25 AND 0.26 MIU/ML (< 10 MIU/ML=NONREACTIVE) THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
25401 ALINITY I ANTI-HBS REAGENT KIT TEST, HEPATITIS B (B CORE, BE ANTIGEN, BE ANTIBODY, B CORE IGM) LOM ABBOTT IRELAND DIAGNOSTICS DIVISION 68373FZ01 00380740159900

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)