| Catalog Number |
03R89-63 |
| Medical Device Problem Code |
Computer Software Problem (1112)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
04/01/2023
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Type of Reportable Event
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Malfunction
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Additional Manufacturer Narrative
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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.
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Event or Problem Description
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The customer reported the aliniq ams is calculating the incorrect absolute differential values coming from the cellavision when nrbcs are identified.The configuration rule is to use the wbcc (corrected wbc) value and instead it is using the wbc-cv value.Aliniq ams confirms the wbcc was corrected using the nrbc but ams did not use this result.The customer indicated this may have impacted samples going back to (b)(6) 2022.The following example data was provided: sid (b)(6): lycv = 37.6 % wbc_cv = 36 wbcc = 3.2 reported absolute lycv = 13.5 (37.6/100x36) this should have used wbcc: lycv = 1.2 (37.6/100x3.2).No impact to patient management was reported.
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Event or Problem Description
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The customer reported the aliniq ams is calculating the incorrect absolute differential values coming from the cellavision when nrbcs are identified.The configuration rule is to use the wbcc (corrected wbc) value and instead it is using the wbc-cv value.Aliniq ams confirms the wbcc was corrected using the nrbc but ams did not use this result.The customer indicated this may have impacted samples going back to (b)(6) 2022.The following example data was provided: sid (b)(6): lycv = 37.6 %.Wbc_cv = 36.Wbcc = 3.2.Reported absolute lycv = 13.5 (37.6/100x36).This should have used wbcc: lycv = 1.2 (37.6/100x3.2).No impact to patient management was reported.Update: clarification was received related to the information provided above.This incident specifically relates to the sample workflow between alinity h, aliniq ams, and the cellavision (cv) digital microscopy system that is used to review blood films.This complaint relates to a custom rule in ams that was developed according to the customer¿s requirements and deployed only at berkshire and surrey pathology services (bsps).The initial hematology requirements using the wbc_cv value instead of the wbcc value for the customer¿s ams system had been built with final rule activation and customer validation in (b)(6) 2023.In (b)(6) 2026, the customer stated the rule was not operating as they expected and requested for a change of the originally validated customer rule setup.Wbc_cv (white blood cell count sent to cellavision processing) = 36.Lycv (percentage lymphocyte count received from cellavision) = 37.6 %.Wbcc (white blood cell corrected count) = 3.2.
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Additional Manufacturer Narrative
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Section b3 date of event was updated from august 1, 2022 to april 1, 2023 due to clarifying information received.Section b5 describe event or problem was updated with clarifying information that was received.The customer reported an issue in aliniq ams software (v3.02) where absolute cell counts calculated from cellavision (cv) differentials were incorrect when nrbcs (nucleated red blood cells) were present.The system used the uncorrected wbc_cv value for absolute differential calculations despite the availability of a corrected wbc (wbcc) after nrbc detection.The aliniq ams system used the uncorrected white blood cell count (wbc_cv) instead of the corrected white blood cell count (wbcc) when calculating absolute differentials from cellavision data.It was confirmed that the aliniq ams behavior aligned with a custom rule that had been validated and implemented based on customer requirements in (b)(6) 2023.No deficiency of the aliniq ams middleware v3.02 was identified.A revised custom calculation rule was subsequently developed to align with the customer¿s updated requirements.A review of tracking and trending did not identify an increase in complaint activity related to the complaint issue.A review of the manufacturing documentation did not identify any issues associated with the complaint issue.Labeling was reviewed and adequately addresses the issue under review.Based on the investigation the aliniq ams is performing as intended, no systemic issue or deficiency was identified.
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Search Alerts/Recalls
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