FDA Adverse Event Malfunction Summary report: N

INRATIO

MDR report key: 1001123 · Received February 15, 2008

Report

Report Number
2954730-2008-00074
Event Type
Malfunction
Date Received
February 15, 2008
Date of Event
December 13, 2007
Report Date
February 15, 2008
Manufacturer
HEMOSENSE, SJ
Product Code
JPA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DISCREPANT RESULTS (ACCURACY) COMPARISON OF INRATIO TEST WITH LAB RESULTS PROVIDED BY END-USER AT TIME COMPLAINT WAS FILED: DATE: 2007, INRATIO: >7.5, LAB: 1.2, MEAN: NA, CONFIDENCE LIMITS: CANNOT BE DETERMINED; INRATIO: 1.0, LAB: 1.2, MEAN: 1.1, CONFIDENCE LIMITS: 1.0-1.5. PER INTERNAL PROCEDURE, THE MEAN OF THE INRATIO METER AND COMPARATIVE SYSTEM INR WERE CALCULATED. FOR THE FIRST SET OF DATA, THE CONFIDENCE LIMITS CANNOT BE DETERMINED. FOR THE SECOND SET OF DATA, BOTH INRATIO AND LAB VALUES ARE WITHIN THE CONFIDENCE LIMITS FOR INR TESTING. THE RESULTS ARE NOT CONSIDERED DISCREPANT WITHIN THE CONTEXT OF THE DOCUMENTED VARIABILITY FOR INR TESTING. PRODUCTS WILL BE TESTED. TS UPDATED THIS CASE IN 2008. PER TEST "QA ASKED FOR LOT# DURING COMPLAINT. TSR CALLED CUSTOMER, NO RECORD OF PAST LOT EXCEPT FOR PREVIOUS. DECEMBER RECORDS HAVE BEEN WIPED FROM MACHINE DUE TO VOLUME OF TESTS." CALLED DIDN'T HAVE ANY STRIPS LOT RECORD. INSUFFICIENT INFO AVAILABLE. NO FURTHER TESTING CAN BE PERFORMED.

Description of Event or Problem · 1

CALLER ALLEGED DISCREPANT RESULTS COMPARED WITH THE LAB. RESULTS AS FOLLOWS: DATE: 2007, INRATIO: >7.5, LAB: 1.2; INRATIO: 1.0, LAB: 1.2.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO PROTHROMBIN TIME TEST JPA HEMOSENSE, SJ KIT, PROFESSIONAL USER, ENGLISH

Patients

Seq Age Sex Outcome Treatment
1