ALINITY I CA 19-9XR REAGENT KIT
Report
- Report Number
- 3002809144-2026-00114
- Event Type
- Malfunction
- Date Received
- May 1, 2026
- Date of Event
- April 13, 2026
- Report Date
- May 13, 2026
- Manufacturer
- ABBOTT GMBH
- Product Code
- NIG
- UDI-DI
- 00380740130527
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
SECTION A PATIENT INFORMATION: REFER TO SECTION B5 FOR COMPLETE PATIENT INFORMATION. AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER 08P32-20 THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER 08P32-21, WITH 510K/PMA/BLA NUMBER K052000.
THE CUSTOMER REPORTED A FALSELY ELEVATED ALINITY I CA19-9XR RESULT FOR ONE PATIENT. THE FOLLOWING DATA WAS PROVIDED: (B)(6) 2026, SID (B)(6): INITIAL RESULT = 49.13 U/ML, REPEATS = 8.51 U/ML, 10.07 U/ML, 9.01 U/ML, AND 9.60 U/ML HISTORICAL RESULT WAS AROUND 10 U/ML. THE 9.60 U/ML RESULT WAS REPORTED OUT OF THE LABORATORY. IT IS UNKNOWN IF THE PATIENT WAS DIAGNOSED WITH PANCREATIC CANCER. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 190625 | ALINITY I CA 19-9XR REAGENT KIT | SYSTEM, TEST, CARBOHYDRATE AG (CA19-9), FOR MONIT AND MGMT OF PANCREATIC CANCER | NIG | ABBOTT GMBH | 79770FP00 | 00380740130527 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |