FDA Adverse Event Malfunction Summary report: N

INRATIO

MDR report key: 1130006 · Received August 19, 2008

Report

Report Number
2954730-2008-00502
Event Type
Malfunction
Date Received
August 19, 2008
Date of Event
July 21, 2008
Report Date
August 11, 2008
Manufacturer
HEMOSENSE, INC.
Product Code
JPA
Removal / Correction Number
NI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

DISCREPANT RESULTS (ACCURACY) COMPARISON OF INRATIO TEST WITH LAB RESULTS PROVIDED BY END-USER AT THE TIME COMPLAINT WAS FILED: DATE - 2008, INRATIO 3.6, LAB 1.9, MEAN 2.75, CONFIDENT LIMITS 1.7-3.8. AS PER INTERNAL PROCEDURE, (REV.2) IF INRATIO AND LAB VALUE ARE WITHIN CONFIDENT LIMIT, NO INVESTIGATION IS NEEDED. ALSO THE CALLER SELF TESTING (NOT THE USER) AND READING WAS 1.0. THIS READING WILL NOT BE TAKEN INTO CONSIDERATION FOR CALCULATING THE CONFIDENCE LIMIT SINCE IT IS FROM TWO DIFFERENT PERSON.

Description of Event or Problem · 1

THE CALLER ALLEGED DISCREPANT RESULTS WHEN COMPARED WITH THE LAB RESULTS REPORTED AS FOLLOWS: DATE: 2008; INRATIO 3.6; LAB 1.9.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO PROTHROMBIN TIME TEST JPA HEMOSENSE, INC. 0100004 NP

Patients

Seq Age Sex Outcome Treatment
1 NI