FDA Adverse Event Malfunction Summary report: N

INRATIO

MDR report key: 3894170 · Received February 13, 2014

Report

Report Number
2027969-2014-00118
Event Type
Malfunction
Date Received
February 13, 2014
Date of Event
January 24, 2014
Report Date
January 24, 2014
Manufacturer
ALERE SAN DIEGO, INC.
Product Code
GJS
PMA / PMN Number
K092987
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

IT IS INDICATED THAT PRODUCT IS NOT RETURNING FOR EVALUATION. THEREFORE, INVESTIGATION OF THE COMPLAINT TO DETERMINE ROOT CAUSE CANNOT BE COMPLETED. RETAIN STRIP TESTING RESULTS MET BOTH ACCURACY AND REPEATABILITY CRITERIA. A REVIEW OF THE BATCH RECORD FOR THE LOT DID NOT UNCOVER ANY NON-CONFORMANCES. RESULTS OF THE QUERY OF SIMILAR INCIDENTS IN THE COMPLAINT SYSTEM FOR THIS LOT DID NOT INDICATE A MANUFACTURING ISSUE. IMPROPER TECHNIQUE WAS IDENTIFIED IN THE COMPLAINT. THIS COULD NOT BE RULED OUT AS A CAUSE OF THE UNEXPECTED RESULTS. ROOT CAUSE COULD NOT BE DETERMINED FROM THE INFORMATION PROVIDED BY THE CUSTOMER. BASED ON THE INFORMATION AVAILABLE, THERE IS NO INDICATION OF A PRODUCT DEFICIENCY. NO CORRECTIVE ACTION IS REQUIRED AT THIS TIME. THE ISSUE WILL BE SUBJECT TO TRACKING AND TRENDING.

Description of Event or Problem · 1

"CALLER ALLEGED IMPRECISION WITH INRATIO METER. RESULTS AS FOLLOWS:" 3.9 VS 1.7 VS 1.1. TESTS WERE PERFORMED WITHIN THIRTY MINUTES. THE FIRST TWO TESTS WERE DONE USING THE SAME FINGER. THERAPEUTIC RANGE 2-3. IT WAS NOTED THAT THE STRIPS WERE STORED IN THE BASEMENT AND MIGHT HAVE REACHED TEMPERATURES BELOW 34 DEGREES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
95601 INRATIO PROTHROMBIN TIME TEST GJS ALERE SAN DIEGO, INC. 100071 301621

Patients

Seq Age Sex Outcome Treatment
1 OXYCODONE| WARFARIN