MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2019-09-19 for INRATIO TEST KIT 100071 manufactured by Alere San Diego.
| Report Number | 2027969-2019-00433 |
| MDR Report Key | 9092939 |
| Report Source | CONSUMER |
| Date Received | 2019-09-19 |
| Date of Report | 2019-09-23 |
| Date Mfgr Received | 2019-09-23 |
| Date Added to Maude | 2019-09-19 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | YA-LING KING |
| Manufacturer Street | 9975 SUMMERS RIDGE ROAD |
| Manufacturer City | SAN DIEGO CA 92121 |
| Manufacturer Country | US |
| Manufacturer Postal | 92121 |
| Manufacturer Phone | 8588052084 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Removal Correction Number | Z-2354,2362-2016 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | INRATIO TEST KIT |
| Generic Name | INRATION PRO TIME TEST |
| Product Code | GIS |
| Date Received | 2019-09-19 |
| Model Number | 100071 |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ALERE SAN DIEGO |
| Manufacturer Address | 9995 SUMMERS RIDGE RD SAN DIEGO CA 92121 US 92121 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-09-19 |