FDA Adverse Event Other Summary report: N

INRATIO2

MDR report key: 1893926 · Received November 1, 2010

Report

Report Number
2027969-2010-01847
Event Type
Other
Date Received
November 1, 2010
Date of Event
October 8, 2010
Report Date
November 1, 2010
Manufacturer
ALERE SAN DIEGO, INC
Product Code
GJS
PMA / PMN Number
K072727
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION PENDING.

Description of Event or Problem · 1

"CALLER ALLEGED DISCREPANT RESULTS COMPARED WITH THE LAB. RESULTS AS FOLLOWS:" DATE: (B)(6) 2010, INRATIO: 2.7, LAB: 6.9. FINGERSTICK WAS DONE AT 9:30 AM ON FRIDAY, AND GOT INR OF 2.7. PT WENT TO DOCTOR'S LATER THAT DAY AND DID BLOOD WORK (SOMETIME BEFORE NOON, BUT PROBABLY OVER AN HOUR AFTER FINGERSTICK) AND GOT INR OF 6.9. PT WAS COUGHING BLOOD AND ADMITTED TO HOSPITAL WITH HEMOPTYSIS. REVIEWED PT HISTORY. PT HAD BEEN ON COUMADIN FOR ALONG TIME AND INR WAS FAIRLY STABLE. DOCTOR MADE MINOR ADJUSTMENTS TO DOSAGE NEARLY EVERY WEEK (3 DAYS AT 2 MG AND 4 DAYS AT 1 MG VS 2 MG 5 DAYS AND 1 MG 2 DAYS).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO2 PROTHROMBIN TIME TEST GJS ALERE SAN DIEGO, INC 100139 234590

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| O