FDA Adverse Event
Malfunction
Summary report: N
INRATIO
MDR report key: 2221670
·
Received August 15, 2011
Report
- Report Number
- 2027969-2011-01816
- Event Type
- Malfunction
- Date Received
- August 15, 2011
- Date of Event
- July 15, 2011
- Report Date
- August 15, 2011
- Manufacturer
- ALERE SAN DIEGO, INC.
- Product Code
- GJS
- PMA / PMN Number
- K021923
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
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: 2.8, LAB: 1.6. PATIENT TAKING LOVENOX 1.5 MG A DAY. PATIENT HAS A HIGH HEMATOCRIT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INRATIO | PROTHROMBIN TIME TEST | GJS | ALERE SAN DIEGO, INC. | 100139 | 253023 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |