FDA Adverse Event Malfunction Summary report: N

INRATIO2

MDR report key: 1960852 · Received December 17, 2010

Report

Report Number
2027969-2010-02195
Event Type
Malfunction
Date Received
December 17, 2010
Date of Event
November 30, 2010
Report Date
December 17, 2010
Manufacturer
ALERE SAN DIEGO, INC.
Product Code
GJS
PMA / PMN Number
K072727
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 DISCREPANT RESULTS COMPARED WITH THE LAB.ABOUT 2 HOURS BETWEEN FINGERSTICK AND VENIPUNCTURE. THERAPEUTIC RANGE 2-3.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO2 PROTHROMBIN TIME TEST GJS ALERE SAN DIEGO, INC. 100071 233708

Patients

Seq Age Sex Outcome Treatment
1