inforMED
MalfunctionDBF

ALINITY I FERRITIN

Received Dec 14, 2018 · Event occurred Oct 25, 2018

Report 3005094123-2018-00233 · MDR key 8165574

Device

Generic name

Ferritin

Manufacturer

A.i.d.d Longford

Catalog number

07P65-30

Lot number

91532UI00

Product problems

  • Unable to Obtain Readings
  • Device Damaged Prior to Use
  • Unable to Obtain Readings
  • Device Damaged Prior to Use

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

A PRODUCT RECALL LETTER WAS ISSUED TO CUSTOMERS WHO RECEIVED SHIPMENTS OF THE AFFECTED ALINITY REAGENTS TO INFORM THEM OF THE MANUFACTURING ISSUE IDENTIFIED WITH THE REAGENT CARTRIDGE BOTTLE NECKS. THE LETTER INSTRUCTS THE CUSTOMER TO MANUALLY INSPECT EACH REAGENT CARTRIDGE IN INVENTORY BEFORE USE. STAT ASSAYS, ALINITY I STAT HIGH SENSITIVE TROPONIN- I AND ALINITY I TOTAL B-HCG, SHOULD BE INSPECTED FIRST AS A PRIORITY TO ENSURE NO DELAY IN TESTING FOR THOSE ASSAYS. REMOVALS AND CORRECTIONS REPORT NUMBER: 3005094123-11/21/18-002-R.

Description of Event or Problem

THE CUSTOMER OBSERVED ERROR CODES 5818 (REAGENT TRANSPORT ERROR), 5819 (REAGENT CARTRIDGE LOAD ERROR AT REAGENT CAROUSEL POSITION 27) AND 5794 (REAGENT CAROUSEL LOAD ERROR) WHILE LOADING ALINITY I FERRITIN REAGENT LOT: 91532UI00 ON THE ALINITY I PROCESSING MODULE. THERE WAS NO REPORT OF ANY PATIENT IMPACT DUE TO THE POTENTIAL DELAY IN GENERATING FERRITIN RESULTS.

Remedial action

  • Recall