FDA Adverse Event Injury Summary report: N

INRATIO2

MDR report key: 1773670 · Received July 22, 2010

Report

Report Number
2027969-2010-01023
Event Type
Injury
Date Received
July 22, 2010
Date of Event
July 1, 2010
Report Date
July 22, 2010
Manufacturer
BIOSITE INCORPORATED
Product Code
GJS
PMA / PMN Number
K072727
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION PENDING.

Description of Event or Problem · 1

CALLER ALLEGED DISCREPANT RESULTS COMPARED WITH THE LAB. RESULTS AS FOLLOWS: SEE SCANNED TABLE. PT STARTED USING THE INRATIO2 METER THREE WEEKS AGO. SHE WAS TOLD BY HER DOCTOR TO HOLD HER COUMADIN DOSE ON (B)(6)2010, AND THEN ALSO ON (B)(6)2010 FOR SEVERAL DAYS. PT HAS NO BRUISING OR BLEEDING. THE FOLLOWING INRATIO RESULT WAS OBTAINED USING A NEW STRIP LOT# 234130: DATE: (B)(6)2010, INRATIO: 6.8.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO2 PROTHROMBIN TIME TEST GJS BIOSITE INCORPORATED 100071 232167

Patients

Seq Age Sex Outcome Treatment
1 Other