FDA Adverse Event Malfunction Summary report: N

INRATIO

MDR report key: 1163625 · Received September 2, 2008

Report

Report Number
2954730-2008-00534
Event Type
Malfunction
Date Received
September 2, 2008
Date of Event
August 5, 2008
Report Date
August 28, 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 TIME COMPLAINT WAS FILED. THE 10 MINUTE TEST, 5 HOURS TEST AND 15 MINUTES TEST ARE WITHIN CONFIDENT LIMIT AS PER INTERNAL PROCEDURE. PRODUCT WILL NOT BE INVESTIGATED. ALSO AS PER INTERNAL PROCEDURE SECTION 8.3.3 IF THE TIME ELAPSED EXCEEDS THREE HOURS, THERE IS HIGH POSSIBILITY THAT THE DISCREPANCIES ARE DUE TO CHANGES IN THE STATUS OF THE PATIENT.

Description of Event or Problem · 1

THE CALLER ALLEGED DISCREPANT RESULTS WHEN COMPARED WITH THE LAB RESULTS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO PROTHROMBIN TIME TEST JPA HEMOSENSE, INC. 0100004 070761A

Patients

Seq Age Sex Outcome Treatment
1 NI