MAUDE Adverse Event Report: ALERE SAN DIEGO INRATIO TEST KITS 12; INRATIO PRO TIME TEST

Model Number 100071

Device Problem Low Test Results (2458)

Patient Problem No Information (3190)

Event Date 09/16/2013

Event Type  Injury  

Manufacturer Narrative

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on reserve sample from the same lot could not be performed.Further investigation is not possible at this time.Alere has withdrawn the alere inratio®/inratio®2 pt/inr system from the market and is no longer manufacturing inratio® test strips and monitors.In addition, all alere inratio®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.

Event Description

It was reported that a discrepant low inr x2 occurred when compared to the hospital lab result.Monday(b)(6) 2013.Inration inr result was 2.1.Tuesday (b)(6) 2013.Hospital lab inr result was 6.4.Multiple vitamin k given.Wednesday (b)(6) 2013.No warfarin was taken.Lab inr result was 2.6---(less than 2 hours later) inratio inr result was 1.6.No further information was provided.

Manufacturer Narrative

Correction: outcomes attributed to adverse event information from gis to gjs.

• Brand Name: INRATIO TEST KITS 12
• Type of Device: INRATIO PRO TIME TEST
• Manufacturer (Section D): ALERE SAN DIEGO; 9995 summers ridge rd; san diego CA 92121
• MDR Report Key: 9092904
• MDR Text Key: 161364147
• Report Number: 2027969-2019-00429
• Device Sequence Number: 1
• Product Code: GJS
• Combination Product (y/n): N
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: consumer
• Type of Report: Initial,Followup
• Report Date: 09/23/2019

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Health Professional
• Device Model Number: 100071
• Was Device Available for Evaluation?: No
• Initial Date Manufacturer Received: 09/19/2013
• Initial Date FDA Received: 09/19/2019
• Supplement Dates Manufacturer Received: 09/23/2019
• Supplement Dates FDA Received: 09/23/2019
• Is This a Reprocessed and Reused Single-Use Device?: No
• Removal/Correction Number: Z-2354,2362-2016
• Patient Sequence Number: 1
• Patient Outcome(s): Other; Required Intervention