FDA Adverse Event Summary report: N

INRATIO2

MDR report key: 2010413 · Received February 23, 2011

Report

Report Number
2027969-2011-00387
Date Received
February 23, 2011
Date of Event
January 27, 2011
Report Date
February 23, 2011
Manufacturer
ALERE SAN DIEGO, INC
Product Code
GJS
PMA / PMN Number
K021923
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

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: 4.3, LAB: 2.8, THERAPEUTIC RANGE: 2.0-2.9. PT CONFIRMED NO CHANGE IN DIET.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO2 PROTHROMBIN TIME TEST GJS ALERE SAN DIEGO, INC 100071 243103

Patients

Seq Age Sex Outcome Treatment
1 NI