FDA Adverse Event Malfunction Summary report: N

INRATIO2

MDR report key: 3060878 · Received April 10, 2013

Report

Report Number
2027969-2013-00290
Event Type
Malfunction
Date Received
April 10, 2013
Date of Event
March 14, 2013
Report Date
April 10, 2013
Manufacturer
ALERE SAN DIEGO, INC.
Product Code
GJS
PMA / PMN Number
K092987
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION PENDING.

Description of Event or Problem · 1

"CALLER ALLEGED IMPRECISION WITH INRATIO METER. RESULTS AS FOLLOWS:" INITIAL INR = 7.5; REPEAT INR = 0.7. PT SELF TESTER CALLED IN AFTER TESTING TODAY. INITIAL INRATIO INR = 7.5. REPEAT INR = <0.7. PT SELF TESTER STATED THAT SHE USED A DIFFERENT FINGER FOR EACH TEST. TESTS WERE PERFORMED WITHIN A FEW MINUTES OF EACH OTHER. PT THERAPEUTIC RANGE = 2.0 - 3.0. PT WAS MILKING FINGER AFTER FINGER STICK; ADDED MULTIPLE DROPS OF BLOOD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
149919 INRATIO2 PROTHROMBINE TIME TEST GJS ALERE SAN DIEGO, INC. 100071 300667

Patients

Seq Age Sex Outcome Treatment
1 LONG TIME.| LAST WEEK| PT IS ON OTHER MEDICATIONS BUT DID NOT WANT TO| WARFARIN| STATE WHAT THEY WERE BUT SHE HAS BEEN ON THEM A| PT STARTED TAKING ANTIBIOTICS FOR A FOOT INJURY