BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INRATIO

    MDR report key: 673082 · Received February 1, 2006

    Report

    Report Number
    2954730-2006-00020
    Event Type
    Malfunction
    Date Received
    February 1, 2006
    Date of Event
    November 11, 2005
    Report Date
    January 24, 2006
    Manufacturer
    HEMOSENSE, INC.
    Product Code
    JPA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    THE CALLER ALLEGED DISCREPANT RESULTS WITH THE LAB AND OTHER POC METER. THE FOLLOWING RESULTS WERE REPORTED: 11/4/2005 INRATIO, LAB 2.3, 2.6 11/11/2005 2.0, 2.4, CLINIC 2.8. 11/14/2005 1.1, 2.3, CLINIC 2.7. 11/16/2005 2.4, (050487), 2.3 (050578). 11/22/2005 2.3, 2.3, CLINIC 2.8 (COAGUCHEK).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INRATIO PROTHROMBIN TIME TEST JPA HEMOSENSE, INC. * 050487

    Patients

    Seq Age Sex Outcome Treatment
    1 *