FDA Adverse Event Other Summary report: N

INRATIO

MDR report key: 1908302 · Received November 17, 2010

Report

Report Number
2027969-2010-01982
Event Type
Other
Date Received
November 17, 2010
Date of Event
October 25, 2010
Report Date
November 17, 2010
Manufacturer
ALERE SAN DIEGO, INC.
Product Code
GJS
PMA / PMN Number
K021923
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION PENDING.

Description of Event or Problem · 1

PT SELF TESTER ALLEGES DISCREPANT RESULTS WITH METER COMPARED TO LAB. PT RECEIVED 2 LOVENOX INJECTIONS PRIOR TO A HERNIA SURGERY. AFTER THE SURGERY, PT RECEIVED CEPHALEXIN. COUMADIN DOSE INCREASED DUE TO 1.6 AND 1.9 INR RESULTS. PT WENT TO HOSPITAL WITH CHEST PAIN THAT TURNED OUT TO BE ANXIETY. INR NOTED TO BE 9.0 FROM LABS TAKEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO PROTHROMBIN TIME TEST GJS ALERE SAN DIEGO, INC. 100071 233029

Patients

Seq Age Sex Outcome Treatment
1 Other