inforMED
MalfunctionCEC

ALINITY I FREE T4 REAGENT KIT

Received Aug 19, 2025 · Event occurred Aug 1, 2025

Report 3005094123-2025-00401 · MDR key 22837560

Device

Generic name

Radioimmunoassay, Free Thyroxine

Catalog number

07P70-74

Lot number

68517UD06

Product problems

  • High Test Results
  • High Test Results

Patient

NA · Unknown

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

Narrative

Description of Event or Problem

THE CUSTOMER OBSERVED FALSELY ELEVATED ALINITY I FREE T4 FOR MULTIPLE PATIENTS THAT WERE NOT REPORTED OUT OF THE LABORATORY. THE FOLLOWING RESULTS WERE PROVIDED (REFERENCE RANGE WAS 9.01-19.05PMOL/L): SID (B)(6), INITIAL FT4 RESULT >64.35PMOL/L; REPEAT RESULT= 15.28 PMOL/L. SID (B)(6), INITIAL FT4 RESULT= 27.36 PMOL/L; REPEAT RESULT= 16.91 PMOL/L. SID (B)(6), INITIAL FT4 RESULT= 23.48 PMOL/L; REPEAT RESULT= 11.47 PMOL/L. THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Additional Manufacturer Narrative

COMPLETE ENTRY SECTION A1 - PATIENT IDENTIFIER: (B)(6). 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.

Description of Event or Problem

THE CUSTOMER OBSERVED FALSELY ELEVATED ALINITY I FREE T4 FOR MULTIPLE PATIENTS THAT WERE NOT REPORTED OUT OF THE LABORATORY. THE FOLLOWING RESULTS WERE PROVIDED (REFERENCE RANGE WAS 9.01-19.05PMOL/L): SID (B)(6), INITIAL FT4 RESULT >64.35PMOL/L; REPEAT RESULT= 15.28 PMOL/L, SID (B)(6), INITIAL FT4 RESULT= 27.36 PMOL/L; REPEAT RESULT= 16.91 PMOL/L , SID (B)(6), INITIAL FT4 RESULT= 23.48 PMOL/L; REPEAT RESULT= 11.47 PMOL/L . THERE WAS NO IMPACT TO PATIENT MANAGEMENT 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, DEVICE HISTORY RECORD REVIEW, FIELD DATA REVIEW AND LABELING REVIEW. DATA AND INFORMATION PROVIDED BY THE CUSTOMER WERE REVIEWED AND SUPPORT THE COMPLAINT ISSUE. REVIEW OF TRACKING AND TRENDING DATA FOR THE ALINITY I FREE T4 ASSAY DID IDENTIFY AN INCREASE IN COMPLAINTS. ADDITIONALLY, AN INCREASE IN COMPLAINT ACTIVITY WAS IDENTIFIED FOR REAGENT LOT 68517UD06. HOWEVER, TESTING WAS PERFORMED UTILIZING RETAINED KITS OF THE COMPLAINT LOT. ALL TESTING PASSED INDICATING THE REAGENT LOTS ARE PERFORMING AS EXPECTED. A DEVICE HISTORY RECORD REVIEW DID NOT IDENTIFY ANY NONCONFORMANCES, POTENTIAL NONCONFORMANCES OR DEVIATIONS ASSOCIATED WITH THE COMPLAINT LOT NUMBER. LABELING WAS REVIEWED WHICH ADEQUATELY ADDRESSES THE CURRENT ISSUE. BASED ON THE INVESTIGATION, NO SYSTEMIC ISSUE OR DEFICIENCY OF THE ALINITY I FREE T4 REAGENT LOT 68517UD06 WAS IDENTIFIED.