FDA Adverse Event Other Summary report: N

INRATIO

MDR report key: 2009115 · Received February 22, 2011

Report

Report Number
2027969-2011-00376
Event Type
Other
Date Received
February 22, 2011
Date of Event
January 27, 2011
Report Date
February 21, 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
VA, US
Reporter Occupation
NURSE

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) 2011, INRATIO: >7.5 (CUSTOMER CALLED BACK ON (B)(6) 2011 AND STATED THAT THIS PATIENT HAD COUMADIN WITHHELD OVER THE WEEKEND); (B)(6) 2011, LAB: 2.2. THERAPEUTIC RANGE IS 2.0-3.0. NURSE TESTED HERSELF USING A DIFFERENT METER AND NEW STRIP LOT 243103; GOT 1.0. TESTED AGAIN ON SAME FINGER USING METER IN THIS CASE AND ORIGINAL STRIP LOT 232886; GOT 1.5. NURSE HAS HAD A COLD AND IS TAKING ASPIRIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO PROTHROMBIN TIME TEST GJS ALERE SAN DIEGO, INC. 100071 232886

Patients

Seq Age Sex Outcome Treatment
1 Other