FDA Adverse Event
Injury
Summary report: N
INRATIO
MDR report key: 1971379
·
Received January 11, 2011
Report
- Report Number
- 2027969-2011-00077
- Event Type
- Injury
- Date Received
- January 11, 2011
- Date of Event
- December 20, 2010
- Report Date
- January 11, 2011
- Manufacturer
- ALERE SAN DIEGO, INC.
- Product Code
- GJS
- PMA / PMN Number
- K021923
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
INVESTIGATION PENDING.
Description of Event or Problem · 1
CALLER ALLEGED DISCREPANT RESULTS USING THE INRATIO METER. RESULTS AS FOLLOWS: DATE: (B)(6) 2010; INRATIO: 3.5; LAB: 6.6 ((B)(6) 2010). METER READING WAS TAKEN ON (B)(6) 2010, AND THE LAB DRAW WAS DONE ON (B)(6) 2010. PT IS ON EXPERIMENTAL CHEMO-THERAPY. HUSBAND HAS BEEN DOING HER INRATIO AT HOME. HUSBAND IS COUMADIN DOSING WIFE ON HIS OWN WITHOUT DOCTORS RECOMMENDATIONS. PT HAD A 30% OR OCCASIONALLY <30% HEMATOCRIT. THERE ARE SIDE EFFECTS FROM THE CHEMO THAT WILL AFFECT COAGULATION FACTORS. PT HAS A PORT TO DRAW BLOOD THAT IS RINSED WITH HEPARIN. CARDIOLOGIST IS NOT MONITORING PT BECAUSE OF HUSBAND DOSING THE WIFE AS HE SEEMS NECESSARY. PT INR MUST BE WITHIN 2-3 IN ORDER FOR HER TO RECEIVE HER NEXT CHEMO TREATMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INRATIO | PROTHROMBIN TIME TEST | GJS | ALERE SAN DIEGO, INC. | 100139 | NG |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |