FDA Adverse Event Malfunction Summary report: N

INRATIO

MDR report key: 1841418 · Received September 15, 2010

Report

Report Number
2027969-2010-01464
Event Type
Malfunction
Date Received
September 15, 2010
Date of Event
August 19, 2010
Report Date
September 15, 2010
Manufacturer
ALERE SAN DIEGO, INC
Product Code
GJS
PMA / PMN Number
021923
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION PENDING.

Description of Event or Problem · 1

CALLER ALLEGED IMPRECISION WITH INRATIO METER. RESULTS AS FOLLOWS: DATE: (B)(6) 2010; INR: 6.3, 7.2, 2.1, 6.2.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO PROTHROMBIN TIME TEST GJS ALERE SAN DIEGO, INC 100071 232886

Patients

Seq Age Sex Outcome Treatment
1 NI