FDA Adverse Event Other Summary report: N

INRATIO

MDR report key: 1922877 · Received December 6, 2010

Report

Report Number
2027969-2010-02121
Event Type
Other
Date Received
December 6, 2010
Date of Event
November 8, 2010
Report Date
December 6, 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
CT, 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:" LAST WEEK (DATE UNK): 3.2, THEN 1.1 ON SAME FINGER. TODAY: 2.2, THEN 1.3 ON NEW FINGER, THEN 1.6 ON SAME FINGER. CUSTOMER'S THERAPEUTIC RANGE IS 2.0-3.0, AND HER INR IS USUALLY VERY STABLE IN THAT RANGE. GOT NEW LOT OF STRIPS AND HER INR WAS FLUCTUATING MORE, SO HER DOCTOR CHANGED HER DOSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO PROTHROMBIN TIME TEST GJS ALERE SAN DIEGO, INC. 100071 234526

Patients

Seq Age Sex Outcome Treatment
1 Other