MAUDE Adverse Event Report: ABBOTT IRELAND DIAGNOSTICS DIVISION ALINITY I FREE T4 REAGENT KIT; RADIOIMMUNOASSAY, FREE THYROXINE

Catalog Number 07P70-30

Device Problem High Test Results (2457)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 03/20/2024

Event Type  malfunction  

Manufacturer Narrative

An evaluation is in process.A follow-up report will be submitted when the evaluation is complete.

Event Description

The customer observed a falsely elevated alinity i free t4 result for one patient on alinity i serial number, (b)(6).The sample was repeated with lower results.The following data was provided: (b)(6) initial result = 21.43 repeat result = 14.77 pmol/l.Reference range = 9.0-19.0 no impact to patient management was reported.

Manufacturer Narrative

The complaint investigation for a falsely elevated alinity i free t4 result included a search for similar complaints, the review of complaint text, trending data, labeling, device history records, and testing of retained reagent kit.Return testing was not completed, as returns were not available.Retained analysis of alinity i free t4 reagent lot 57607ud00.All specifications were met indicating that the lot is performing acceptably.Trending review determined no related trend for the issue for the product.Device history record review did not identify any non-conformances or deviations for the likely cause lot and complaint issue.Manufacturing documentation for the likely cause lot was reviewed and did not identify any issues.Labeling was reviewed and found to adequately address the issue under review.Based on the information provided and abbott diagnostics¿ complaint investigation, no systemic issue or deficiency of alinity i free t4, lot number 57607ud00, was identified.

Event Description

The customer observed a falsely elevated alinity i free t4 result for one patient on alinity i serial number, (b)(6).The sample was repeated with lower results.The following data was provided: sid (b)(6) initial result = 21.43 repeat result = 14.77 pmol/l reference range = 9.0-19.0 no impact to patient management was reported.

Event Description

The customer observed a falsely elevated alinity i free t4 result for one patient on alinity i serial number, (b)(6).The sample was repeated with lower results.The following data was provided: (b)(6) initial result = 21.43 repeat result = 14.77 pmol/l, reference range = 9.0-19.0.Additional data provided 18apr2024: (b)(6) initial result = 33.01(not reported) and repeat result 13.43 processed on 17apr2024 no impact to patient management was reported.

Manufacturer Narrative

Additional patient results added in section b5: describe event of problem.Complete information for section a1 patient identifier = sid (b)(6).

• Brand Name: ALINITY I FREE T4 REAGENT KIT
• Type of Device: RADIOIMMUNOASSAY, FREE THYROXINE
• Manufacturer (Section D): ABBOTT IRELAND DIAGNOSTICS DIVISION; lisnamuck; co. longford; longford N39E9 32; EI N39E932
• Manufacturer (Section G): ABBOTT IRELAND DIAGNOSTICS DIVISION; lisnamuck; co. longford; longford N39E9 32; EI N39E932
• Manufacturer Contact: nicole jenne ; max-planck-ring 2; post market surveillance; wiesbaden 65205 ; GM 65205 ; 6122582960
• MDR Report Key: 19055402
• MDR Text Key: 339787848
• Report Number: 3005094123-2024-00171
• Device Sequence Number: 1
• Product Code: CEC
• UDI-Device Identifier: 380740121822
• UDI-Public: (01)380740121822(17)241031(10)57607UD00
• Combination Product (y/n): N
• Reporter Country Code: UK
• PMA/PMN Number: K173122
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Foreign,Health Professional
• Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup,Followup
• Report Date: 05/01/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/05/2024
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Catalogue Number: 07P70-30
• Device Lot Number: 57607UD00
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 04/18/2024
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 11/28/2023
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Treatment: ALNTY I PROCESSING MODU, 03R65-01, AI22030; ALNTY I PROCESSING MODU, 03R65-01, AI22030; ALNTY I PROCESSING MODU, 03R65-01, AI22030