510(k) Report

510(k) · Cleared

Recalled · Class I · 2014

Inratio Self-Test

K021923510(k) TraditionalCleared Oct 24, 2002135-day reviewClass II21 CFR 864.7750Recalls 4 (2 Class I)

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Hemosense, Inc. · GJS Test, Time, Prothrombin

Cleared on Oct 24, 2002 after a 135-day review. The FDA summary names its predicate without a number. 2 of the 5 devices in its family, counting itself, have a Class I recall. 4 later devices descend from it. It has been recalled 4 times, including 2 Class I recalls.

Decided
Oct 24, 2002
Review
135 days
Class
Class II
Product code
GJS
Recalls
4 (2 Class I)
Predicates
0

4 later devices descend from it, 2 citing it directly. 2 of the 5 devices in this family, counting this one, have a Class I recall.

Descendants, by year cleared 2010: 1 descendant cleared2012: 1 descendant cleared, 1 with a Class I recall12019: 1 descendant cleared2022: 1 descendant cleared200020052010201520202025
  1. This deviceK021923 Inratio Self-TestHemosense, Inc. · 2002
  2. Descendant · cites it directly · 2 of its ownK093243 Coagusense Self-Test Prothrombin Time/Inr Monitoring SystemCoagusense, Inc. · 2010 · Recalled
  3. Descendant · 2 generations on · 1 of its ownK183255 Coag-Sense Prothrombin Time (PT) / INR Monitoring DeviceCoagusense, Inc. · 2019 · Recalled
  4. Descendant · 3 generations on · 0 of its ownK212779 Coag-Sense Prothrombin (PT) / INR Monitoring System for Patient…Coagusense, Inc. · 2022
  5. Descendant · cites it directly · 0 of its ownK110212 INRATIO2 PI/NR Monitoring System; Inratio PT/Inr Test StripAlere San Diego, Inc (Formally Biosite Incorporate · 2012 · Recalled (Class I)

Class I recalls in this family

Most influential descendants

Showing 4 of 4 · See all
  • K093243Coagusense Self-Test Prothrombin Time/Inr Monitoring SystemCoagusense, Inc. · 2010 · cites it directly2descendants
  • K183255Coag-Sense Prothrombin Time (PT) / INR Monitoring DeviceCoagusense, Inc. · 2019 · 2 generations on1descendant
  • K212779Coag-Sense Prothrombin (PT) / INR Monitoring System for Patient Self-TestingCoagusense, Inc. · 2022 · 3 generations on0descendants
  • K110212INRATIO2 PI/NR Monitoring System; Inratio PT/Inr Test StripAlere San Diego, Inc (Formally Biosite Incorporate · 2012 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K021923Inratio Self-TestHemosense, Inc.2002—
+1K093243Coagusense Self-Test Prothrombin Time/Inr Monitoring SystemCoagusense, Inc.20101
+2K183255Coag-Sense Prothrombin Time (PT) / INR Monitoring DeviceCoagusense, Inc.20191
+3K212779Coag-Sense Prothrombin (PT) / INR Monitoring System for Patient Self-TestingCoagusense, Inc.2022—
+1K110212INRATIO2 PI/NR Monitoring System; Inratio PT/Inr Test StripAlere San Diego, Inc (Formally Biosite Incorporate2012Class I

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201010
201211
201910
202210
FIG. 1 — Lineage of K021923, 2002–2022Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

2 devices in this family have a Class I recall. A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new GJS device

  1. #1 K243543 microINR Systemscore 13.4 · 6 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*—The INRatio System
Named without a submission number
—

What descends from it? (4)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K093243Coagusense Self-Test Prothrombin Time/Inr Monitoring SystemCoagusense, Inc.20102
K110212INRATIO2 PI/NR Monitoring System; Inratio PT/Inr Test Strip Class IAlere San Diego, Inc (Formally Biosite Incorporate20120

Has anything in its family been recalled? (2 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Dec 5, 2014Class IZ-0881-2015Under Investigation by firmIn certain cases, an INRatio PT/INR Monitor system may provide an INR result that is significantly lower than a result obtained using a reference INR system (laboratory method). This issue can arise if the patient has certain medical…
Dec 5, 2014Class IZ-0880-2015Under Investigation by firmIn certain cases, an INRatio PT/INR Monitor system may provide an INR result that is significantly lower than a result obtained using a reference INR system (laboratory method). This issue can arise if the patient has certain medical…
Oct 11, 2011Not classifiedZ-0188-2012Material/Component ContaminationAlere has initiated a recall of the Professional Disposables International (PDI) alcohol prep products due to the potential presence of low levels of the microorganism Bacillus cereus.
Sep 7, 2005Not classifiedZ-0132-06OtherA software problem that may cause the INRatio meter to incorrectly display 'INR>7.5' test message under a particular use condition.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K110212INRATIO2 PI/NR Monitoring System; Inratio PT/Inr Test StripAlere San Diego, Inc (Formally Biosite Incorporate · 2012 · Cites it directly · ◆ in the 2012 descendants bar of FIG. 15 Class I recalls

What does this lineage say?

  • Of its descendants, K093243 (Coagusense, Inc., 2010) has gone furthest, with 2 descendants of its own.

How does its category compare?

All GJS devices

GJS Test, Time, Prothrombin: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · GJS

3in 2025

2007: 42008: 12010: 42012: 12013: 12014: 12016: 12017: 12018: 22019: 22020: 12022: 32023: 22024: 12025: 3
2007high 4 (2007) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GJS

60in 2025

2007: 77 days median2010: 168 days median2022: 399 days median2025: 60 days median
2007high 399 (2022) · low 60 (2025)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · GJS

1in 2022

2007: 52008: 32009: 42010: 22011: 12012: 12013: 12014: 4, 3 Class I2017: 52018: 3, 2 Class I2020: 22021: 12022: 1
2007high 5 (2007) · low 0 (2015)2026

Class I (5 since 2007) Class II/III not classified

Adverse event reports per year · GJS

105in 2025

2007: 4392008: 4202009: 8762010: 2,1772011: 2,9652012: 2,1982013: 2,5842014: 2,3972015: 1,2602016: 8642017: 5322018: 1,9582019: 2,3852020: 1,3902021: 1,3592022: 1,2102023: 8092024: 1772025: 105
2007high 2,965 (2011) · low 105 (2025)2025

MAUDE reports naming product code GJS, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20074775439
20081—3420
20090—4876
2010416822,177
20110—12,965
20121—12,198
20131—12,584
20141—4 (3)2,397
20150—01,260
20161—0864
20171—5532
20182—3 (2)1,958
20192—02,385
20201—21,390
20210—11,359
2022339911,210
20232—0809
20241—0177
20253600105
20260—0—

What is it indicated for?

The HemoSense INRatio is an in vitro diagnostic system that provides a quantitative prothrombin time results, expressed in seconds and as an International Normalized Ratio (INR). It uses fresh capillary whole blood and is intended for is intended for quantitative prothrombin time testing of fresh, capillary whole blood for monitoring of oral anticoagulation therapy by trained patients or their caregivers, on the prescription or other order of a treating physician.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K021923: Inratio Self-Test.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K021923

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026