FDA Adverse Event Other Summary report: N

INRATIO2

MDR report key: 1791920 · Received August 4, 2010

Report

Report Number
2027969-2010-01131
Event Type
Other
Date Received
August 4, 2010
Date of Event
July 15, 2010
Report Date
August 4, 2010
Manufacturer
BIOSITE INCORPORATED
Product Code
GJS
PMA / PMN Number
K072727
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION PENDING.

Description of Event or Problem · 1

PATIENT SELF TESTER HAD DISCREPANT RESULTS. PATIENT GIVEN LOVENOX AFTER HER 1.1 RESULT. PATIENT IS NO LONGER RECEIVING LOVENOX. NEW LOT (#222168) USED ON (B)(6) 2010. PATIENT'S TARGET THERAPEUTIC RANGE IS 3.0-4.0.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO2 PROTHROMBIN TIME TEST GJS BIOSITE INCORPORATED 100139 232886

Patients

Seq Age Sex Outcome Treatment
1 Other