FDA Adverse Event Injury Summary report: N

INRATIO

MDR report key: 1555807 · Received November 24, 2009

Report

Report Number
2027969-2009-01098
Event Type
Injury
Date Received
November 24, 2009
Date of Event
October 30, 2009
Report Date
November 24, 2009
Manufacturer
BIOSITE INCORPORATED
Product Code
JPA
PMA / PMN Number
K021923
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

DATA ANALYSIS WAS PERFORMED ON INR RESULTS PROVIDED BY THE CUSTOMER. THE 1.8 INR IS EXCLUDED FROM COMPARISON TEST SINCE NO LAB REFERENCE INDICATED AND IS OBTAINED MORE THAN 3 HOURS FROM PREVIOUS RESULT (5.5 INR). SINCE TIME OF TEST EXCEEDED THREE HOURS, THERE IS A HIGH POSSIBILITY THAT THE DISCREPANCIES ARE DUE TO CHANGES IN THE STATUS OF THE PATIENT. THREE HOURS IS CONSIDERED A REASONABLE LENGTH OF TIME BETWEEN TWO READINGS IN ORDER FOR COMPARISON TO BE VALID. DISCREPANT RESULTS (ACCURACY) COMPARISON OF INRATIO TEST WITH LAB RESULTS PROVIDED BY END-USER AT TIME COMPLAINT WAS FILED: DATE: 2009, INRATIO METER: 5.5 INR, REFERENCE: 3.9 INR, MEAN: 4.70, CONFIDENCE LIMITS: 2.6 - 6.9. THE MEAN OF THE INRATIO METER AND COMPARATIVE SYSTEM INR WERE CALCULATED. BOTH INRATIO AND REFERENCE 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. METER WAS RETURNED; FUNCTIONAL TEST WAS PERFORMED ON RETURNED METER. ALL TESTING CRITERIA PASSED. PRODUCT DEFICIENCY WAS NOT ESTABLISHED. FURTHER TEST IS NOT REQUIRED AT THIS TIME. TRENDING AND TRACKING WILL BE PERFORMED IN REVIEW FOR STRIP LOT # 220375. (TOTAL NUMBER OF DISCREPANT COMPLAINTS, INCLUDING THIS EVENT, IS 3). THE ALLOWABLE DIFFERENCE BETWEEN THE INRATIO INRS AND LAB INRS ARE CALCULATED. AT LEAST TWO OUT OF THREE REPLICATES FOR BOTH SAMPLES FOR STRIP LOT 220375 ARE WITHIN THE ALLOWABLE BIAS. NO DISCREPANT RESULTS ARE PRODUCED ON RETURNED AND IN-HOUSE METERS. THESE MEET THE ABOVE CRITERIA, AND THEN NO FURTHER ACTION IS REQUIRED. NO CORRECTIVE ACTION REQUIRED AT THIS TIME AS NO PRODUCT DISCREPANCY WAS ESTABLISHED.

Description of Event or Problem · 1

"CALLER ALLEGED DISCREPANT RESULTS COMPARED WITH THE LAB. RESULTS AS FOLLOWS: "DATE: 2009. INRATIO: 5.5, LAB: 3.9. PATIENT REPORTS THAT SHE HAS ALWAYS RECEIVED HIGH RESULTS FROM THE METER. SHE HAS HAD IT FOR JUST A FEW WEEKS. A 5.5 ON THE METER AND WITHIN 30 MINUTES 3.9 AT THE HOSPITAL LAB, HER RANGE IS AROUND 2.5 AND A DOSE WAS WITHHELD, SHE TESTED TODAY AND GOT A 1.8. NO OTHER INFORMATION PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO PROTHROMBIN TIME TEST JPA BIOSITE INCORPORATED 100071 220375

Patients

Seq Age Sex Outcome Treatment
1 Other