BEUDAMED
    FDA Adverse Event Death Summary report: N

    LIBERTY CYCLER

    MDR report key: 1840230 · Received September 20, 2010

    Report

    Report Number
    MW5017467
    Event Type
    Death
    Date Received
    September 20, 2010
    Date of Event
    August 3, 2010
    Report Date
    September 20, 2010
    Product Code
    FKX
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RECALL. PT DIAGNOSED WITH PERITONITIS, SEPTIC INFECTION AND ULTIMATELY DIED. SOMETHING SHOULD HAVE BEEN DONE SOONER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIBERTY CYCLER PERITONEAL DIALYSIS CYCLER SET FKX

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Death| O