inforMED
MalfunctionCEO

ALINITY C PHOSPHORUS REAGENT KIT

Received Nov 13, 2023 · Event occurred Oct 20, 2023

Report 3002809144-2023-00466 · MDR key 18121946

Device

Generic name

Phosphomolybdate (colorimetric), Inorganic Phosphorus

Manufacturer

Abbott Gmbh

Catalog number

08P40-30

Lot number

82483UN23

Product problems

  • Low Test Results
  • Low Test Results

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

THE CUSTOMER OBSERVED FALSELY DEPRESSED ALINITY C PHOSPHORUS RESULTS GENERATED ON THE ALINITY C PROCESSING MODULE. THE FOLLOWING DATA WAS PROVIDED (REFERENCE RANGE 2.3 - 4.7 MG/DL): (B)(6) INITIAL RESULT 8.2 MG/DL, REPEATED 10.2 MG/DL. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Additional Manufacturer Narrative

AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Description of Event or Problem

THE CUSTOMER OBSERVED FALSELY DEPRESSED ALINITY C PHOSPHORUS RESULTS GENERATED ON THE ALINITY C PROCESSING MODULE. THE FOLLOWING DATA WAS PROVIDED (REFERENCE RANGE 2.3 - 4.7 MG/DL): SID (B)(6) INITIAL RESULT 8.2 MG/DL, REPEATED 10.2 MG/DL. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Additional Manufacturer Narrative

THE COMPLAINT INVESTIGATION INCLUDED A REVIEW OF DATA AND INFORMATION PROVIDED BY THE CUSTOMER, SEARCH FOR SIMILAR COMPLAINTS, TICKET TRENDING REVIEW, LABELING REVIEW, AND DEVICE HISTORY RECORD REVIEW. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE; HOWEVER, AS PART OF TROUBLESHOOTING, THE CUSTOMER REPEATED THE SAME SAMPLE ON ANOTHER ANALYZER WITH THE SAME LOT OF REAGENT. THE RERUN PRODUCED ACCEPTABLE RESULTS. DATA AND INFORMATION PROVIDED BY THE CUSTOMER WERE REVIEWED AND SUPPORT THE COMPLAINT ISSUE WITHOUT INDICATION FOR ANY ADDITIONAL ISSUE. THE TICKET SEARCH BY LOT INDICATES THAT THE COMPLAINT LOT PERFORMS AS EXPECTED FOR THIS PRODUCT. TICKET TRENDING REVIEW DID NOT IDENTIFY ANY TRENDS. DEVICE HISTORY REVIEW DID NOT IDENTIFY ANY NON-CONFORMANCES OR DEVIATIONS WITH THE COMPLAINT LOT. LABELING WAS REVIEWED AND SUFFICIENTLY ADDRESSES THE CUSTOMER¿S ISSUE. BASED ON THE INVESTIGATION, NO SYSTEMIC ISSUE OR DEFICIENCY OF THE ALINITY C PHOSPHORUS REAGENT LOT 82483UN23 WAS IDENTIFIED.