BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INRATIO

    MDR report key: 3042953 · Received March 6, 2013

    Report

    Report Number
    2027969-2013-00191
    Event Type
    Malfunction
    Date Received
    March 6, 2013
    Date of Event
    March 1, 2013
    Report Date
    March 6, 2013
    Manufacturer
    ALERE SAN DIEGO, INC.
    Product Code
    GJS
    PMA / PMN Number
    K092987
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    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) 2013, INRATIO: >7.5, LAB: 3.0. PATIENT'S THERAPEUTIC RANGE: UNKNOWN. IMPROPER CAPILLARY TUBES ARE BEING USED; NURSE IS MILKING FINGER AFTER FINGER STICK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    96593 INRATIO PROTHROMBIN TIME TEST GJS ALERE SAN DIEGO, INC. 100139 282870

    Patients

    Seq Age Sex Outcome Treatment
    1 COUMADIN