FDA Adverse Event Malfunction Summary report: N

INRATIO

MDR report key: 1377594 · Received March 6, 2009

Report

Report Number
2027969-2009-00089
Event Type
Malfunction
Date Received
March 6, 2009
Date of Event
February 16, 2009
Report Date
March 5, 2009
Manufacturer
BIOSITE INCORPORATED
Product Code
JPA
Removal / Correction Number
NI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
NO INFORMATION

Narratives

Additional Manufacturer Narrative · 1

THIS EVENT IS REPORTABLE BECAUSE A RECURRENCE MAY CAUSE OR CONTRIBUTE TO A DEATH OR SERIOUS INJURY. DEVICE WILL NOT BE RETURNED FOR EVAL. INVESTIGATION IS PENDING.

Description of Event or Problem · 1

CALLER REPORTED RESULTS DISCREPANCY BETWEEN INRATIO AND LAB. (B) (6) 2009: INR METER 1.2, INR LAB 2.2. METER INR 1.5. ONE DAY LATER 2.1. INR METER 2.1 INR 1.5 AND 1.0 WEEK LATER. PT ALSO RECEIVED ERRORS: NES, 141, 114.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO PROTHROMBIN TIME TEST JPA BIOSITE INCORPORATED 0100007

Patients

Seq Age Sex Outcome Treatment
1 NI