FDA Adverse Event Malfunction Summary report: N

ALINITY I TSH REAGENT KIT

MDR report key: 24894923 · Received April 16, 2026

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

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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)