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Catalog Number 09P68-01 |
Device Problem
Installation-Related Problem (2965)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Type
malfunction
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Manufacturer Narrative
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All available patient information was included.Additional patient details are not available.An evaluation is in process.A follow-up report will be submitted when the evaluation is complete.
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Event Description
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The customer reported that after a software update to version 5.4, which was performed by abbott, their normal unit of measure on the alinity hq processing module was not retained.The customer provided the following data for the change of the unit of measure: the customer¿s normal unit of measure for hemoglobin (hgb) is mmol/l and after the software update the hgb unit of measure was g/dl.The customer communicated that initially they only looked at the number and not the number and the unit of measure together, which resulted in an initial misinterpretation of results.The customer provided 5 measurements as g/dl (8.48 g/dl ; 7.91 g/dl ; 10.1 g/dl; 13.8 g/dl ; 9.31 g/dl).After conversion to the normal unit of measure, the customer confirmed that there were no missed transfusions.The customer stated that 1 patient did require to have another blood draw due to the misinterpretation of results.The customer reported that there was no further reported impact to patient management.
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Manufacturer Narrative
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The alinity hq, serial number (b)(6) was inspected and it was noted that the units of measure should be captured before a software update and verified after update is completed.Return testing was not completed as returns were not available.Data and information provided by the customer were reviewed and support the complaint issue without indication for any additional issue.A review of ticket tracking and trending did not identify a trend for the alinity hq, nor was an increase in complaint activity found.A review of the manufacturing documentation did not identify any non-conformances or potential non-conformances related to the alinity hq and customer reported event.Labeling was reviewed and was found to address the customer reported issue.Based on the available information, no systemic issue or deficiency was identified for the alinity hq, serial number (b)(6).
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Event Description
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The customer reported that after a software update to version 5.4, which was performed by abbott, their normal unit of measure on the alinity hq processing module was not retained.The customer provided the following data for the change of the unit of measure: the customer¿s normal unit of measure for hemoglobin (hgb) is mmol/l and after the software update the hgb unit of measure was g/dl.The customer communicated that initially they only looked at the number and not the number and the unit of measure together, which resulted in an initial misinterpretation of results.The customer provided 5 measurements as g/dl (8.48 g/dl ; 7.91 g/dl ; 10.1 g/dl; 13.8 g/dl ; 9.31 g/dl).After conversion to the normal unit of measure, the customer confirmed that there were no missed transfusions.The customer stated that 1 patient did require to have another blood draw due to the misinterpretation of results.The customer reported that there was no further reported impact to patient management.
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Search Alerts/Recalls
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