510(k) Report

510(k) · Decided

Recalled · Class I · 2016

INRATIO2 PI/NR Monitoring System; Inratio PT/Inr Test Strip

K110212510(k) TraditionalDecided May 1, 2012462-day reviewClass II21 CFR 864.7750Recalls 5 (5 Class I)

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

Alere San Diego, Inc (Formally Biosite Incorporate · GJS Test, Time, Prothrombin

Cleared on May 1, 2012 as substantially equivalent to K020679 (Hemosense, Inc., 2002) and 3 other predicates after a 462-day review. Its family tree reaches back 3 generations to 2002. 5 of the 5 devices in its family, counting itself, have a Class I recall. It has been recalled 5 times, including 5 Class I recalls.

Decided
May 1, 2012
Review
462 days
Class
Class II
Product code
GJS
Recalls
5 (5 Class I)
Predicates
4

Its longest line of descent runs back 3 generations to K020679 (2002). 4 ancestors in all. No later device cites it as a predicate yet. 5 of the 5 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 2002: 1 other ancestor, 1 with a Class I recall1K020679 · Inratio · Hemosense, Inc. · 2002 · Class I recallK072727 · Inratio 2 PT Monitoring System · Hemosense, Inc. · 2007 · Class I recallK092987 · Inratio/INRATIO2 Test Strips · Biosite Incorporated · 2010 · Class I recall20002002200420062008201020122014
  1. Root · 3 generations backK020679 InratioHemosense, Inc. · 2002 · Recalled (Class I)
  2. 2 generations backK072727 Inratio 2 PT Monitoring SystemHemosense, Inc. · 2007 · Recalled (Class I)
  3. 1 generation backK092987 Inratio/INRATIO2 Test StripsBiosite Incorporated · 2010 · Recalled (Class I)
  4. This deviceK110212 INRATIO2 PI/NR Monitoring System; Inratio PT/Inr Test StripAlere San Diego, Inc (Formally Biosite Incorporate · 2012

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K020679InratioHemosense, Inc.2002Class I
−2K072727Inratio 2 PT Monitoring SystemHemosense, Inc.2007Class I
−1K092987Inratio/INRATIO2 Test StripsBiosite Incorporated2010Class I
0 (this device)K110212INRATIO2 PI/NR Monitoring System; Inratio PT/Inr Test StripAlere San Diego, Inc (Formally Biosite Incorporate2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200211
FIG. 1 — Lineage of K110212, 2002–2012Source: 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.

5 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? (4)

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
*K020679Inratio
Summary page 1
…re lNRatio®2 PT/INR Home Monitoring System Alere lNRatio®D2 PT/INR Test Strip C. Predicate Devices: lNRatio® PT Monitoring System, K020679 lNRatio® PT Monitoring System, K02 1923 lNRatio®-2 PT/INR Monitoring…
Hemosense, Inc.2002Class I
*K021923Inratio Self-Test
Summary page 1
…Alere lNRatio®D2 PT/INR Test Strip C. Predicate Devices: lNRatio® PT Monitoring System, K020679 lNRatio® PT Monitoring System, K02 1923 lNRatio®-2 PT/INR Monitoring System, K072727 lNRatio® PT/INR Test Str…
Hemosense, Inc.2002Class I
*K072727Inratio 2 PT Monitoring System
Summary page 1
…o® PT Monitoring System, K020679 lNRatio® PT Monitoring System, K02 1923 lNRatio®-2 PT/INR Monitoring System, K072727 lNRatio® PT/INR Test Strip, K092987 D. Device Description: The INRatio2 PT/INR Monitoring…
Hemosense, Inc.2007Class I
*K092987Inratio/INRATIO2 Test Strips
Summary page 1
…atio® PT Monitoring System, K02 1923 lNRatio®-2 PT/INR Monitoring System, K072727 lNRatio® PT/INR Test Strip, K092987 D. Device Description: The INRatio2 PT/INR Monitoring Systems (Professional and Home) perform a modified version o…
Biosite Incorporated2010Class I

Also cleared against K020679: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (5 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jul 11, 2016Class IZ-2359-2016OtherAlere San Diego is initiating a voluntary recall for the Alere INRatio¿/INRatio¿2 PT/INR Monitoring System (Test Strips and Meters). This action is being initiated as a result of patients who had a therapeutic or near-therapeutic INR with…
Jul 11, 2016Class IZ-2358-2016OtherAlere San Diego is initiating a voluntary recall for the Alere INRatio¿/INRatio¿2 PT/INR Monitoring System (Test Strips and Meters). This action is being initiated as a result of patients who had a therapeutic or near-therapeutic INR with…
Jul 11, 2016Class IZ-2354-2016OtherAlere San Diego is initiating a voluntary recall for the Alere INRatio¿/INRatio¿2 PT/INR Monitoring System (Test Strips and Meters). This action is being initiated as a result of patients who had a therapeutic or near-therapeutic INR with…
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…
Dec 5, 2014Class IZ-0882-2015Under 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…

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.

  • K092987Inratio/INRATIO2 Test StripsBiosite Incorporated · 2010 · Direct predicate · ◆ on the line of descent in FIG. 16 Class I recalls
  • K072727Inratio 2 PT Monitoring SystemHemosense, Inc. · 2007 · Direct predicate · ◆ on the line of descent in FIG. 14 Class I recalls
  • K021923Inratio Self-TestHemosense, Inc. · 2002 · Direct predicate · ◆ in the 2002 ancestors bar of FIG. 12 Class I recalls
  • K020679InratioHemosense, Inc. · 2002 · Direct predicate · ◆ on the line of descent in FIG. 14 Class I recalls

What does this lineage say?

  • The line of descent spans 10 years and passes through 3 companies; a new generation was cleared every 2.6 years on median.
  • 4 of the 4 ancestors have a recall of any class; 4 have a Class I recall.
  • 1 other device also cites its predicate K020679.

How does its category compare?

All GJS devices

GJS Test, Time, Prothrombin: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

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?

Alere INRatio®2 PT/INR Monitoring System (Professional Use): The Alere INRatio®2 PT/INR Monitoring System (Professional Use), consisting of the INRatio®2 Monitor and INRatio®2 PT/INR test strip, is used for quantitative determination of international normalized ratio (INR) in fresh capillary whole blood to monitor the effect of warfarin on clonting time by health care professionals. The Alere INRatio®2 PT/INR Monitoring System (Professional Use) is…

Read the full statement (251 words)

Alere INRatio®2 PT/INR Monitoring System (Professional Use): The Alere INRatio®2 PT/INR Monitoring System (Professional Use), consisting of the INRatio®2 Monitor and INRatio®2 PT/INR test strip, is used for quantitative determination of international normalized ratio (INR) in fresh capillary whole blood to monitor the effect of warfarin on clonting time by health care professionals. The Alere INRatio®2 PT/INR Monitoring System (Professional Use) is intended for use outside of the body (in vitro diagnostic use). The Alere INRatio®2 PT/INR Monitoring System (Professional Use) is not intended to be used for screening purposes.

Limitations: The Alere INRatio®2 PT/INR Monitoring System (Professional Use) is not intended for use in patients who are transitioning from heparin treatment to warfarin therapy.

Alere INRatio®2 PT/INR Home Monitoring System: The Alere INRatio®2 PT/INR Home Monitoring System, consisting of the INRatio®2 Home Monitor and INRatio®2 PT/INR test strip, is used for quantitative determination of international normalized ratio (INR) in fresh capillary whole blood to monitor the effect of warfarin therapy on clotting time by properly selected suitably trained users (by prescription for home use or other order of a treating physician). Patients must be stabilized (>6 weeks) on warfarin therapy. The The Alere INRatio®2 PT/INR Home Monitoring System is intended for use outside of the body (in vitro diagnostic use). The Alere INRatio®2 PT/INR Home Monitoring System is not intended to be used, for screening purposes.

Limitations: The Alere INRatio®2 PT/INR Home Monitoring System is not intended for use in patients who are transitioning from heparin treatment to warfarin therapy.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K110212: INRATIO2 PI/NR Monitoring System; Inratio PT/Inr Test Strip.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K110212

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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