BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INRATIO

    MDR report key: 923103 · Received October 3, 2007

    Report

    Report Number
    2954730-2007-00470
    Event Type
    Malfunction
    Date Received
    October 3, 2007
    Date of Event
    September 20, 2007
    Report Date
    October 2, 2007
    Manufacturer
    HEMOSENSE, INC.
    Product Code
    JPA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    INRATIO PRECISION DATA PROVIDED BY END-USER LOT 070274/070001: FIRST TEST INR = 6.3 SECOND TEST INR = >7.5, MEAN = N/A, SD = NA, %CV - NA%. THE %CV CANNOT BE DETERMINED. PRODUCTS WILL BE TESTED WHEN RETURNED.

    Description of Event or Problem · 1

    CALLER ALLEGED IMPRECISION WITH INRATIO METER. RESULTS AS FOLLOWS: FIRST TEST INR = 6.3 SECOND TEST INR = >7.5

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INRATIO PROTHROMBIN TIME TEST JPA HEMOSENSE, INC. 070001

    Patients

    Seq Age Sex Outcome Treatment
    1 YR