ALINITY I TSH REAGENT KIT
Report
- Report Number
- 3005094123-2026-00178
- Event Type
- Malfunction
- Date Received
- April 16, 2026
- Date of Event
- April 2, 2026
- Report Date
- April 16, 2026
- Manufacturer
- ABBOTT IRELAND DIAGNOSTICS DIVISION
- Product Code
- JLW
- UDI-DI
- 00380740131159
- PMA / PMN Number
- K983442
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BU
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
AN EVALUATION IS IN PROCESS. A FINAL REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER 07P48, THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US WITH THE SAME LIST NUMBER, AND A 510K/PMA/BLA NUMBER OF K983442. ALL AVAILABLE PATIENT INFORMATION WAS INCLUDED. ADDITIONAL PATIENT DETAILS ARE NOT AVAILABLE.
THE CUSTOMER OBSERVED DISCREPANT ALINITY I TSH RESULTS GENERATED FOR AN 82-YEAR-OLD FEMALE PATIENT SAMPLE. THE FOLLOWING DATA WAS PROVIDED (CUSTOMERS REFERENCE RANGE 0.35 UIU/ML TO 4.94 UIU/ML): SAMPLE ID (B)(6): (B)(6) 2026 INITIAL RESULT IN LITHIUM HEPARIN PLASMA TUBE = 0.14 MIU/L, (B)(6) 2026 REPEAT RESULT = 0.07 MIU/L. SAME PATIENT: (B)(6) 2026 RESULT IN SERUM GEL SEPARATOR TUBE = 0.79 MIU/L, (B)(6) 2026 REPEAT RESULT = 0.83 MIU/L . NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 955988 | ALINITY I TSH REAGENT KIT | RADIOIMMUNOASSAY, THYROID-STIMULATING HORMONE | JLW | ABBOTT IRELAND DIAGNOSTICS DIVISION | 82588UD00 | 00380740131159 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 82 YR | Female | ALNTY I PROCESSING MODU, 03R65-01, (B)(6) |