FDA Adverse Event Malfunction Summary report: N

INRATIO

MDR report key: 2070801 · Received April 15, 2011

Report

Report Number
2027969-2011-00854
Event Type
Malfunction
Date Received
April 15, 2011
Date of Event
March 25, 2011
Report Date
April 15, 2011
Manufacturer
ALERE SAN DIEGO, INC
Product Code
GJS
PMA / PMN Number
K021923
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION PENDING.

Description of Event or Problem · 1

CALLER ALLEGED DISCREPANT PRECISION RESULTS USING THE INRATIO METER: RESULTS AS FOLLOWS: DATE: (B)(6) 2011, INRATIO: 4.9, RE-TEST: 3.0, RE-TEST: 2.6. ALL TESTS WERE DONE RIGHT ONE AFTER THE OTHER. TESTS WERE DONE ON DIFFERENT FINGERS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO PROTHROMBIN TIME TEST GJS ALERE SAN DIEGO, INC 100071 243934

Patients

Seq Age Sex Outcome Treatment
1