MAUDE Adverse Event Report: ABBOTT SRL ALINIQ AMS; CALCULATOR/DATA PROCESSING MODULE, FOR CLINICAL USE

Catalog Number	03R89-62
Medical Device Problem Code	Installation-Related Problem (2965)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	06/03/2024
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
An evaluation is in process.A follow up report will be submitted when the evaluation is complete.All available patient information was included.Additional patient details are not available.
Event or Problem Description
The ams configuration was incorrectly setup for uric acid synovial fluid testing.The upload/down codes were inadvertently entered for the analyzer to process a urea nitrogen instead of a uric acid resulting in 50 potentially incorrect results within this customer's health system across multiple locations.Physicians are working to determine if incorrect patient results negatively impacted patient management at this site.There has been no reported impact to patient management at this site to date.
Event or Problem Description
The ams configuration was incorrectly setup for uric acid synovial fluid testing.The upload/down codes were inadvertently entered for the analyzer to process urea nitrogen instead of uric acid resulting in (b)(4) incorrect results within this customer's health system across multiple locations.The customers review of potentially impacted results has been completed and no impact to patient management was reported for this site.
Additional Manufacturer Narrative
An evaluation is in process.A follow up report will be submitted when the evaluation is complete.Updated section b5.
Additional Manufacturer Narrative
The complaint investigation indicated that the root cause of the issue was an incorrect test/channel configuration setup by abbott personnel.The issue was corrected at all impacted customer sites.A review of complaints for this issue was performed and no additional complaints were identified aside from the other 5 associated with this customer health system.A review of historical data revealed no trends, systemic issues, or related nonconformances for the complaint issue.A review of labeling has identified that current labeling contains adequate information to configure the aliniq ams and emphasizes the necessity of validation activities for its proper functioning.Based on all available information and abbott¿s complaint investigation, no product deficiency was identified for the aliniq ams.
Event or Problem Description
The ams configuration was incorrectly setup for uric acid synovial fluid testing.The upload/down codes were inadvertently entered for the analyzer to process urea nitrogen instead of uric acid resulting in 66 incorrect results within this customer's health system across multiple locations.The customers review of potentially impacted results has been completed and no impact to patient management was reported for this site.

• Brand Name: ALINIQ AMS
• Common Device Name: CALCULATOR/DATA PROCESSING MODULE, FOR CLINICAL USE
• Manufacturer (Section D): ABBOTT SRL; via giorgio ribotta 9; rome 00144 ; IT 00144
• Manufacturer (Section G): ABBOTT SRL; via giorgio ribotta 9; rome 00144 ; IT 00144
• Manufacturer Contact: nicole jenne ; max-planck-ring 2; post market surveillance; wiesbaden 65205 ; GM 65205 ; 6122582960
• MDR Report Key: 19633128
• Report Number: 3004032053-2024-00008
• Device Sequence Number: 12621719
• Product Code: JQP
• UDI-Device Identifier: 00380740200169
• UDI-Public: (01)00380740200169(10)3.01
• Combination Product (Y/N): N
• Initial Reporter Country: DA
• PMA/510(K) Number: EXEMPT
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 08/15/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Catalogue Number: 03R89-62
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 06/03/2024
• Supplement Date Received by Manufacturer: 07/11/2024; 08/14/2024
• Initial Report FDA Received Date: 06/28/2024
• Supplement Report FDA Received Date: 07/30/2024; 08/15/2024
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Patient Sex: Unknown