FDA Adverse Event
Malfunction
Summary report: N
PROTIME MICROCOAGULATION SYSTEM
MDR report key: 2548270
·
Received July 31, 2009
Report
- Report Number
- 2248721-2009-00627
- Event Type
- Malfunction
- Date Received
- July 31, 2009
- Date of Event
- April 1, 2008
- Report Date
- July 29, 2009
- Manufacturer
- INTERNATIONAL TECHNIDYNE CORP.
- Product Code
- GKP
- PMA / PMN Number
- K951072
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NH, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
(B)(4). THIS MDR IS SUBMITTED BASED UPON A RETROSPECTIVE REVIEW OF COMPLAINT REPORTS FROM 2007-2008 IN LIGHT OF REVISED ITC MDR EVALUATION PROCEDURES.
Description of Event or Problem · 1
THIS REPORT IS FOR PATIENT 3 OF 3. A 4.3 INR WITH PROTIME SYSTEM VS. THERAPEUTIC INR OBTAINED WITH UNSPECIFIED LAB SYSTEM. PATIENT THERAPEUTIC RANGE 2.0 - 3.0 INR. NO REPORT OF ADVERSE EVENT, SERIOUS INJURY, OR INTERVENTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PROTIME MICROCOAGULATION SYSTEM | PROTIME INST/3-CHANNEL TEST CUVETTE | GKP | INTERNATIONAL TECHNIDYNE CORP. | L11-01-01RF | B8P3C054 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |