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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT LABORATORIES ALINITY CI-SERIES SYSTEM CONTROL MODULE; ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE

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ABBOTT LABORATORIES ALINITY CI-SERIES SYSTEM CONTROL MODULE; ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE Back to Search Results
Catalog Number 03R70-01
Device Problem Smoking (1585)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/26/2024
Event Type  malfunction  
Event Description
The customer stated that the cable on the alinity ci series instrument external waste pump that was plugged into the wall socket was scorched and visible smoke was seen in the laboratory.No person or object was damaged or injured.Replacement pump has already been connected and devices are running without any problems.No impact to patient management, user safety was reported.
 
Manufacturer Narrative
An evaluation is in process.A follow-up report will be submitted when the evaluation is complete.
 
Event Description
The customer stated that the cable on the alinity ci series instrument external waste pump that was plugged into the wall socket was scorched and visible smoke was seen in the laboratory.No person or object was damaged or injured.Replacement pump has already been connected and devices are running without any problems.No impact to patient management / user safety was reported.
 
Manufacturer Narrative
The field service representative (fsr) replaced the alnty ci external waste and observed charring/burning of the electrical cord.Replacement of the part resolved the issue.Return testing was not completed as returns were not available.The instrument service history review for (b)(6) revealed no additional service tickets associated with smoke and scorching/burn observed due to a part.A review of tracking and trending for the alinity ci-series system control module did not identify any trends.A review of tracking and trending for the alnty ci external waste did not identify any trends.Review of the manufacturing documentation did not identify any non-conformances associated with the complaint issue.Labeling was reviewed and found to adequately address the issue under review.Based on the investigation, no systemic issue or deficiency of the alinity ci-series system control module for serial (b)(6) or the alnty ci external waste were identified.
 
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Brand Name
ALINITY CI-SERIES SYSTEM CONTROL MODULE
Type of Device
ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE
Manufacturer (Section D)
ABBOTT LABORATORIES
1915 hurd drive
irving TX 75038
Manufacturer (Section G)
ABBOTT LABORATORIES
1915 hurd drive
irving TX 75038
Manufacturer Contact
nicole jenne
max-planck-ring 2
post market surveillance
wiesbaden 65205
GM   65205
6122582960
MDR Report Key18684568
MDR Text Key335206659
Report Number3016438761-2024-00082
Device Sequence Number1
Product Code JJE
Combination Product (y/n)N
Reporter Country CodeGM
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 02/20/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/12/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number03R70-01
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/13/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
ALNTY CI EXTERNAL WASTE, 04S74-01, UNKNOWN; ALNTY CI EXTERNAL WASTE, 04S74-01, UNKNOWN
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