FDA Adverse Event Malfunction Summary report: N

INRATIO TEST KITS 48

MDR report key: 9092922 · Received September 19, 2019

Report

Report Number
2027969-2019-00436
Event Type
Malfunction
Date Received
September 19, 2019
Report Date
September 23, 2019
Manufacturer
ALERE SAN DIEGO
Product Code
GJS
Removal / Correction Number
Z-2354,2362-2016
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 0

CORRECTION: D2 INFORMATION FROM GIS TO GJS.

Additional Manufacturer Narrative · 1

THIS MDR IS A RETROSPECTIVE FILING THAT WAS IDENTIFIED DURING AN INTERNAL ASSESSMENT AS PART OF CAPA (B)(4) RELATED TO UNMONITORED COMMUNICATIONS CHANNELS (E-MAILS, VOICEMAILS). INVESTIGATION RESULTS: IT IS INDICATED THAT THE PRODUCT IS NOT RETURNING FOR EVALUATION. A LOT NUMBER OF THE TEST STRIP PRODUCT WAS NOT PROVIDED AND NEITHER MANUFACTURING RECORD REVIEW NOR TESTING ON RESERVE SAMPLE FROM THE SAME LOT COULD NOT BE PERFORMED. FURTHER INVESTIGATION IS NOT POSSIBLE AT THIS TIME. ALERE HAS WITHDRAWN THE ALERE INRATIO®/INRATIO®2 PT/INR SYSTEM FROM THE MARKET AND IS NO LONGER MANUFACTURING INRATIO® TEST STRIPS AND MONITORS. IN ADDITION, ALL ALERE INRATIO® TEST STRIPS ARE NOW EXPIRED. CUSTOMERS HAVE BEEN ADVISED TO WORK WITH THEIR HEALTHCARE PROVIDER TO TRANSITION TO AN ALTERNATE MONITORING METHOD, SUCH AS A PLASMA-BASED LABORATORY INR METHOD OR A POINT-OF-CARE MONITORING SYSTEM FROM A DIFFERENT MANUFACTURER.

Description of Event or Problem · 1

IT WAS REPORTED THAT SEVERAL INRATIO METERS HAVE HAD UNSPECIFIED DISCREPANT RESULTS. ONE PATIENT'S RESULT WAS 1.3, COUMADIN WAS INCREASED SLIGHTLY AND 2 DAYS LATER THE RESULT WAS 5.7. NO FURTHER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
880278 INRATIO TEST KITS 48 INRATIO PRO TIME TEST GJS ALERE SAN DIEGO 100139

Patients

Seq Age Sex Outcome Treatment
1