BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INRATIO

    MDR report key: 2050382 · Received April 4, 2011

    Report

    Report Number
    2027969-2011-00692
    Event Type
    Malfunction
    Date Received
    April 4, 2011
    Date of Event
    March 8, 2011
    Report Date
    April 4, 2011
    Manufacturer
    ALERE SAN DIEGO, INC.
    Product Code
    GJS
    PMA / PMN Number
    021923
    Removal / Correction Number
    NI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, 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. RESULTS AS FOLLOWS: PT 1: DATE: (B)(6) 2011, INRATIO: 1.2, LAB: 2.3. PT 2: (B)(6) 2011, 5.3, 2.7. PT 1'S THERAPEUTIC RANGE: 2.0-2.5 INR. PT 2'S THERAPEUTIC RANGE: 2.0-3.0 INR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INRATIO PROTHOMBIN TIME TEST GJS ALERE SAN DIEGO, INC. 100139 240450

    Patients

    Seq Age Sex Outcome Treatment
    1 NI