FDA Adverse Event Other Summary report: N

INRATIO

MDR report key: 2211354 · Received August 2, 2011

Report

Report Number
2027969-2011-01709
Event Type
Other
Date Received
August 2, 2011
Date of Event
July 6, 2011
Report Date
August 2, 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
NJ, 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: 5.9, LAB: 3.1. LAST WEEK THE PT HAD AN INR OF 5.9 AND WAS SYMPTOMATIC OF HIGH INR (SHE HAD BRUISING AND BLEEDING). THEY DID LOWER HER COUMADIN DOSAGE. PT'S THERAPEUTIC RANGE IS 2.0-3.0. PT IS TAKING TWO NEW MEDICATIONS, BUT THE NURSE DIDN'T KNOW WHAT THEY WERE. PT IS ANEMIC AND DOES HAVE CANCER; NURSE IS NOT SURE OF HEMATOCRIT LEVEL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INRATIO PROTHROMBIN TIME TEST GJS ALERE SAN DIEGO, INC. 100139 251112

Patients

Seq Age Sex Outcome Treatment
1 Other