FDA Adverse Event Malfunction Summary report: N

ALINITY I HBSAG QUALITATIVE II REAGENT KIT

MDR report key: 23300013 · Received October 15, 2025

Report

Report Number
3008344661-2025-00140
Event Type
Malfunction
Date Received
October 15, 2025
Date of Event
September 25, 2025
Report Date
December 2, 2025
Manufacturer
ABBOTT IRELAND DIAGNOSTICS DIVISION
Product Code
LOM
UDI-DI
00380740130404
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
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 8P10-32 THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER 8P10-31, WITH 510K/PMA/BLA NUMBER P110029.

Additional Manufacturer Narrative · 0

THE EVALUATION OF COMPLAINT DATA FOR THE PRODUCT AND LIKELY CAUSE ALINITY I HBSAG REAGENT LOT 73314FZ00 IDENTIFIED NORMAL COMPLAINT ACTIVITY AND THERE ARE NO TRENDS FOR THE PRODUCT RELATED TO PATIENT RESULTS. HISTORICAL PERFORMANCE IN THE FIELD USING WORLDWIDE DATA WAS REVIEWED AND DETERMINED THAT THE PATIENT MEDIAN RESULT FOR THE LOT IS COMPARABLE WITH OTHER LOTS IN THE FIELD, CONFIRMING NO SYSTEMIC ISSUE FOR THE PRODUCT LOT. 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 HBSAG QUALITATIVE II REAGENT (LOT# 73314FZ00).

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSE REACTIVE ALINITY I HBSAG QUALITATIVE II AND HBSAG CONFIRMATORY RESULTS ON A PATIENT. THE FOLLOWING RESULTS WERE PROVIDED: SERUM (SST) = 1.2 / 1.8 S/CO, SST CONFIRMED POSITIVE AT 92% EDTA = 0.44 S/CO; EDTA AND LITHIUM HEPARIN SAMPLES DID NOT CONFIRM BY CONFIRMATORY ASSAY. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSE REACTIVE ALINITY I HBSAG QUALITATIVE II AND HBSAG CONFIRMATORY RESULTS ON A PATIENT. THE FOLLOWING RESULTS WERE PROVIDED: SERUM (SST) = 1.2 / 1.8 S/CO, SST CONFIRMED POSITIVE AT 92%. EDTA = 0.44 S/CO; EDTA AND LITHIUM HEPARIN SAMPLES DID NOT CONFIRM BY CONFIRMATORY ASSAY NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1994004 ALINITY I HBSAG QUALITATIVE II REAGENT KIT TEST, HEPATITIS B (B CORE, BE ANTIGEN, BE ANTIBODY, B CORE IGM) LOM ABBOTT IRELAND DIAGNOSTICS DIVISION 73314FZ00 00380740130404

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown ALNTY I PROCESSING MODU, 03R65-01, (B)(6).