FDA Adverse Event Malfunction Summary report: N

ALINITY I ANTI-HCV REAGENT KIT

MDR report key: 22059045 · Received May 21, 2025

Report

Report Number
3002809144-2025-00162
Event Type
Malfunction
Date Received
May 21, 2025
Date of Event
April 30, 2025
Report Date
June 25, 2025
Manufacturer
ABBOTT GMBH
Product Code
MZO
UDI-DI
00380740169213
PMA / PMN Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
RS
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. THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER 8P06 THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER: 8P05, WITH 510K/PMA/BLA NUMBER: P050042.

Additional Manufacturer Narrative · 0

A REVIEW OF TICKETS WAS PERFORMED FOR THE LIKELY CAUSE REAGENT LOT NUMBER 72335BE00. THE TICKET SEARCH DETERMINED THERE ARE NO TRENDS FOR THE PRODUCT RELATED TO PATIENT RESULTS. NO CUSTOMER RETURNS WERE AVAILABLE FOR EVALUATION. CLINICAL SENSITIVITY OF THE ALINITY I ANTI-HCV ASSAY WAS EVALUATED WITH A RETAINED KIT OF LOT 72335BE00 AND DEMONSTRATED ACCEPTABLE SENSITIVITY SPECIFICATIONS, CONFIRMING THAT THIS LOT IS MEETING THE ALINITY I PRODUCT REQUIREMENT. A REVIEW OF THE MANUFACTURING DOCUMENTATION DID NOT IDENTIFY ANY ISSUES ASSOCIATED WITH THE CUSTOMERS OBSERVATION. A REVIEW OF THE PRODUCT LABELING CONCLUDED THAT THE ISSUE IS SUFFICIENTLY ADDRESSED. BASED ON THE INVESTIGATION NO SYSTEMIC ISSUE OR PRODUCT DEFICIENCY WAS IDENTIFIED FOR THE ALINITY I ANTI-HCV ASSAY, LOT 72335BE00.

Description of Event or Problem · 0

THE CUSTOMER REPORTED A FALSE NONREACTIVE ALINITY I ANTI-HCV RESULT ON A PATIENT WITH A HISTORY OF A POSITIVE RESULT. ON (B)(6) 2025 SID: (B)(6). THE CUSTOMER PROCESSED THE SAMPLE ON ANOTHER ALINITY AND WAS POSITIVE (1.47 S/CO). NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED A FALSE NONREACTIVE ALINITY I ANTI-HCV RESULT ON A PATIENT WITH A HISTORY OF A POSITIVE RESULT. (B)(6) 2025 SID (B)(6). THE CUSTOMER PROCESSED THE SAMPLE ON ANOTHER ALINITY AND WAS POSITIVE (1.47 S/CO). NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
80587 ALINITY I ANTI-HCV REAGENT KIT ASSAY, ENZYME LINKED IMMUNOSORBENT, HEPATITIS C VIRUS MZO ABBOTT GMBH 72335BE00 00380740169213

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown ALNTY I PROCESSING MODU, 03R65-01, AI04422| ALNTY I PROCESSING MODU, 03R65-01, AI04422