ALINITY C CARBON DIOXIDE REAGENT KIT
Report
- Report Number
- 3002809144-2025-00296
- Event Type
- Malfunction
- Date Received
- September 17, 2025
- Date of Event
- August 19, 2025
- Report Date
- November 5, 2025
- Manufacturer
- ABBOTT GMBH
- Product Code
- KHS
- UDI-DI
- 00380740121594
- PMA / PMN Number
- K060295
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THE COMPLAINT INVESTIGATION INCLUDED A REVIEW OF DATA AND INFORMATION PROVIDED BY THE CUSTOMER, SEARCH FOR SIMILAR COMPLAINTS, TICKET TRENDING REVIEW, DEVICE HISTORY RECORD REVIEW, FIELD DATA REVIEW AND LABELING REVIEW. DATA AND INFORMATION PROVIDED BY THE CUSTOMER WERE REVIEWED AND SUPPORT THE COMPLAINT ISSUE. REVIEW OF TRACKING AND TRENDING FOR THE ALINITY C CARBON DIOXIDE 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 67723UQ01. THE DEVICE HISTORY RECORD REVIEW FOUND NO ISSUE RELATED TO THE CURRENT COMPLAINT FOR LOT NUMBER 67723UQ01. THE OVERALL PERFORMANCE OF THE ALINITY C CARBON DIOXIDE REAGENTS IN THE FIELD WAS REVIEWED USING DATA GATHERED FROM CUSTOMERS WORLDWIDE. THE PATIENT DATA WAS ANALYZED AND COMPARED TO AN ESTABLISHED CONTROL LIMIT. THIS EVALUATION INDICATED THAT THE PATIENT MEDIAN RESULT FOR THE LOT NUMBERS IN THE FIELD FOR LOT NUMBER 67723UQ01 IS WITHIN THE ESTABLISHED CONTROL LIMITS. THEREFORE, NO UNUSUAL REAGENT PERFORMANCE WAS IDENTIFIED. REVIEW OF LABELING FOUND ADEQUATE INFORMATION REGARDING THE ISSUE UNDER REVIEW. BASED ON THE INVESTIGATION, NO SYSTEMIC ISSUE OR DEFICIENCY OF THE ALINITY C CARBON DIOXIDE REAGENT LOT 67723UQ01 WAS IDENTIFIED.
COMPLETE INFORMATION FOR SECTION A1 PATIENT IDENTIFIER: SID (B)(6). AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.
THE CUSTOMER OBSERVED A FALSELY DEPRESSED ALINITY C CARBON DIOXIDE FOR ONE PATIENT. THE FOLLOWING RESULTS WERE PROVIDED (REFERENCE RANGE 22 ¿ 32 MMOL/L): ON (B)(6) 2025, SID (B)(6), INITIAL CO2 RESULT(B)(6) = 6.8 MMOL/L; REPEAT RESULT= 6.8 MMOL/L; REPEAT RESULT (B)(6) = 4.1 MMOL/L; RADIOMETER CO2 RESULT= 20 MMOL/L (RELEASED RESULT); LIPEMIA INDEX= 1.3; TRIGLYCERIDE= 27 MMOL/L. ADDITIONAL RESULTS WERE PROVIDED: QEP (SERUM PROTEIN ELECTROPHORESIS) AND SFLC (SERUM FREE LIGHT CHAIN) WERE NORMAL. ADDITIONAL SAMPLES WERE COLLECTED WITH THE FOLLOWING RESULTS: SID (B)(6) , INITIAL CO2 RESULT= 15 MMOL/L; RADIOMETER CO2= 17 MMOL/L, LIPEMIA INDEX= 0.83, TRIGLYCERIDES= 21.9. ON (B)(6) 2025, SID (B)(6) , INITIAL CO2 RESULT= 21 MMOL/L; RADIOMETER CO2 RESULT = 25 MMOL/L; LIPEMIA INDEX= 0.29. ON (B)(6) 2025, SID (B)(6), INITIAL CO2 RESULT= 21 MMOL/L; RADIOMETER CO2 RESULT = 23 MMOL/L; LIPEMIA INDEX= 0.11; TRIGLYCERIDES= 4.9. ON (B)(6) 2025, SID (B)(6), INITIAL CO2 RESULT= 23 MMOL/L; RADIOMETER CO2 RESULT = 25 MMOL/L; LIPEMIA INDEX= 0.38; TRIGLYCERIDES= 5.8 THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.
THE CUSTOMER OBSERVED A FALSELY DEPRESSED ALINITY C CARBON DIOXIDE FOR ONE PATIENT. THE FOLLOWING RESULTS WERE PROVIDED (REFERENCE RANGE 22 ¿ 32 MMOL/L): (B)(6) 2025, SID (B)(6), INITIAL CO2 RESULT ((B)(6)) = 6.8 MMOL/L; REPEAT RESULT= 6.8 MMOL/L; REPEAT RESULT ((B)(6)) = 4.1 MMOL/L; RADIOMETER CO2 RESULT= 20 MMOL/L (RELEASED RESULT); LIPEMIA INDEX= 1.3; TRIGLYCERIDE= 27 MMOL/L ADDITIONAL RESULTS WERE PROVIDED: QEP (SERUM PROTEIN ELECTROPHORESIS) AND SFLC (SERUM FREE LIGHT CHAIN) WERE NORMAL. ADDITIONAL SAMPLES WERE COLLECTED WITH THE FOLLOWING RESULTS: SID (B)(6), INITIAL CO2 RESULT= 15 MMOL/L; RADIOMETER CO2= 17 MMOL/L, LIPEMIA INDEX= 0.83, TRIGLYCERIDES= 21.9. (B)(6) 2025, SID (B)(6), INITIAL CO2 RESULT= 21 MMOL/L; RADIOMETER CO2 RESULT = 25 MMOL/L; LIPEMIA INDEX= 0.29. (B)(6) 2025, SID (B)(6), INITIAL CO2 RESULT= 21 MMOL/L; RADIOMETER CO2 RESULT = 23 MMOL/L; LIPEMIA INDEX= 0.11; TRIGLYCERIDES= 4.9. (B)(6) 2025, SID (B)(6), INITIAL CO2 RESULT= 23 MMOL/L; RADIOMETER CO2 RESULT = 25 MMOL/L; LIPEMIA INDEX= 0.38; TRIGLYCERIDES= 5.8 THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 111464 | ALINITY C CARBON DIOXIDE REAGENT KIT | ENZYMATIC, CARBON-DIOXIDE | KHS | ABBOTT GMBH | 67723UQ01 | 00380740121594 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | ALNTY C PROCESSING MODU, 03R67-01, (B)(6).| ALNTY C PROCESSING MODU, 03R67-01, (B)(6). |