BEUDAMED
    FDA Adverse Event Other Summary report: N

    IN RATIO 2

    MDR report key: 4759367 · Received April 7, 2015

    Report

    Report Number
    MW5042589
    Event Type
    Other
    Date Received
    April 7, 2015
    Report Date
    March 24, 2015
    Manufacturer
    ALERE
    Product Code
    GJS
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    COMPANY CONTACTED ME TELLING ME THERE HAD BEEN PROBLEMS WITH TESTING RESULTS WITH INFORMATION ON WHAT TO DO. I FOLLOWED DIRECTIONS INCLUDING TAKING INFO TO DOCTOR. I LOST THE RETURN FORM AND WAS CONTACTED BY ALERE AND WAS TOLD TO CONTACT YOU. I WAS NOT INJURED IN ANYWAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    229025 IN RATIO 2 P.T. INR MACHINE GJS ALERE

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR PERCOCET| GEODON| METFORIMIN| SOMA| CYTOMEL| TOPROL| DYAZIDE| COUMADIN| PROTONICS| ZOCAR| KLONOPIN XANAX| VIT D| SYNTHROID| EFFEXOR