FDA Adverse Event Malfunction Summary report: N

INRATIO2

MDR report key: 1589783 · Received January 18, 2010

Report

Report Number
2027969-2010-00065
Event Type
Malfunction
Date Received
January 18, 2010
Date of Event
December 23, 2009
Report Date
January 18, 2010
Manufacturer
BIOSITE INCORPORATED
Product Code
GJS
PMA / PMN Number
K072727
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
NOT APPLICABLE

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: (B)(6)2009, INRATIO: 2.0, REFERENCE: 3.6, MEAN: 2.80, CONFIDENCE LIMITS: 1.7-3.8. 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. INVESTIGATION: INRATIO RESULTS PROVIDED BY THE CUSTOMER ARE REGISTERED ON MEMORY. STRIP INVESTIGATION WAS PERFORMED ON LOT #221727. THE ALLOWABLE DIFFERENCE BETWEEN THE INRATIO INR'S AND SYSMEX INR'S ARE CALCULATED. AT LEAST TWO OUT OF THREE REPLICATES FOR BOTH SAMPLES FOR LOT# 221727 ARE WITHIN THE ALLOWABLE BIAS. NO DISCREPANT RESULTS WERE ESTABLISHED ON RETURNED AND IN-HOUSE METERS. THESE MEET THE ABOVE CRITERIA, AND THEN NO FURTHER ACTION IS REQUIRED. MEAN CALCULATION FROM COMPARISON TEST DATA PROVIDED BY END-USER REVEALED NOT ALL TEST VALUES ARE WITHIN THE CONFIDENCE LIMITS. THE RESULT OF ACCURACY TESTS WITH RETURNED METER/LAB METERS/SYSMEX COULD NOT REPLICATE CUSTOMER'S OBSERVATION. ACCURACY CRITERIA HAS BEEN MET. METER MEMORY RECORD WAS REVIEWED MULTIPLE NES TEST RESULTS. METER INVESTIGATION REVEALED SAMPLE CONTAMINATION. THERE IS INSUFFICIENT INFO TO DETERMINE THE ROOT CAUSE OF CUSTOMER'S DISCREPANCY. AS OF 01/15/2010, 5 DISCREPANT RESULT COMPLAINTS WERE REPORTED FOR LOT# 221727 YIELDING A COMPLAINT RATE OF 0.001%. DUE TO THIS LOW OCCURRENCE RATE, BELOW THE ACTION THRESHOLDS MONITORED BY QA FOR CORRECTIVE ACTION (>0.07%) NO FURTHER ACTION IS REQUIRED AT THIS TIME. ON GOING TRENDING SHALL BE PERFORMED TO DETERMINE IF FURTHER ACTION IS WARRANTED. CORRECTIVE ACTION NOT REQUIRED AT THIS TIME AS PRODUCT DEFICIENCY WAS NOT ESTABLISHED.

Description of Event or Problem · 1

CALLER ALLEGED DISCREPANT RESULTS COMPARED WITH THE LAB. RESULTS AS FOLLOWS: DATE: (B)(6)2009, INRATIO: 2.0, LAB: 3.6.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO2 PROTHROMBIN TIME TEST GJS BIOSITE INCORPORATED 100139 221727

Patients

Seq Age Sex Outcome Treatment
1