FDA Adverse Event Death Summary report: N

NURSE ASSIST, LLC

MDR report key: 19528786 · Received June 13, 2024

Report

Report Number
3002695476-2024-00024
Event Type
Death
Date Received
June 13, 2024
Date of Event
October 14, 2022
Report Date
May 1, 2024
Manufacturer
NURSE ASSIST, LLC
Product Code
FRO
PMA / PMN Number
K083042
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

FOLLOWED-UP WITH CUSTOMER TO OBTAIN MORE INFORMATION ABOUT THE PRODUCT THAT WAS USED ON THE HUSBAND.

Additional Manufacturer Narrative · 0

FOLLOWED-UP WITH CUSTOMER TO OBTAIN MORE INFORMATION ABOUT THE PRODUCT THAT WAS USED ON THE HUSBAND.

Additional Manufacturer Narrative · 0

FOLLOWED-UP WITH CUSTOMER TO OBTAIN MORE INFORMATION ABOUT THE PRODUCT THAT WAS USED ON THE HUSBAND.

Description of Event or Problem · 0

ON (B)(6) 2024, NURSE ASSIST RECEIVED A COMPLAINT VIA E-MAIL FROM (B)(6). DESCRIPTION OF E-MAIL: ON SATURDAY, (B)(6) 2024 AT 10:24:59 AM CST, (B)(6) WROTE: HELLO, I AM WRITING ON BEHALF OF MY HUSBAND, (B)(6). HE PASSED AWAY (B)(6) 2023, AT THE TIME HE DID HAVE BLOOD INFECTION, MERSA. WOULD THIS RECALL HAVE CAUSED THIS BLOOD INFECTION? ON THURSDAY, (B)(6) 2024 AT 06:52:52 PM CST, (B)(6) WROTE: HELLO , I WOULD LIKE TO FOLLOW UP ON MY INQUIRY IN (B)(6). I RECEIVED A RECALL NOTIFICATION , CAN YOU TELL ME WHAT TIMEFRAME THAT MY HUSBAND , (B)(6) WOULD HAVE RECEIVED THE SALINE SOLUTION? PAST 14 MONTHS, BEFORE HE PASSED , HE HAD CONTINUOUS BLOOD INFECTIONS , WHICH CAUSED HIM MANY TRIPS TO THE ICU I WOULD REALLY LIKE TO GET SOME DETAILS ON THIS RECALL. I HAVE ALSO BE REACHED OUT TO THE FDA.

Description of Event or Problem · 0

ON (B)(6) 2024, NURSE ASSIST RECEIVED A COMPLAINT VIA E-MAIL FROM (B)(6). DESCRIPTION OF E-MAIL: ON SATURDAY, ON (B)(6), 2024 AT 10:24:59 AM CST, (B)(6) WROTE: HELLO, I AM WRITING ON BEHALF OF MY HUSBAND, (B)(6) . HE PASSED AWAY (B)(6) , 2023, AT THE TIME HE DID HAVE BLOOD INFECTION, MERSA WOULD THIS RECALL HAVE CAUSED THIS BLOOD INFECTION? ON THURSDAY, ON (B)(6) 2024 AT 06:52:52 PM CST, (B)(6) WROTE: HELLO, I WOULD LIKE TO FOLLOW UP ON MY INQUIRY IN (B)(6) I RECEIVED A RECALL NOTIFICATION, CAN YOU TELL ME WHAT TIMEFRAME THAT MY HUSBAND, (B)(6) WOULD HAVE RECEIVED THE SALINE SOLUTION? PAST 14 MONTHS, BEFORE HE PASSED, HE HAD CONTINUOUS BLOOD INFECTIONS, WHICH CAUSED HIM MANY TRIPS TO THE ICU I WOULD REALLY LIKE TO GET SOME DETAILS ON THIS RECALL. I HAVE ALSO BE REACHED OUT TO THE FDA.

Description of Event or Problem · 0

ON 20-JAN-24, NURSE ASSIST RECEIVED A COMPLAINT VIA E-MAIL FROM (B)(6). DESCRIPTION OF E-MAIL: ON SATURDAY, JANUARY 20, 2024, AT 10:24:59 AM CST, (B)(6) WROTE: HELLO, I AM WRITING ON BEHALF OF MY HUSBAND, (B)(6). HE PASSED AWAY (B)(6) 2023, AT THE TIME HE DID HAVE BLOOD INFECTION, MERSA. WOULD THIS RECALL HAVE CAUSED THIS BLOOD INFECTION? ON THURSDAY, MARCH 7, 2024, AT 06:52:52 PM CST, (B)(6) WROTE: HELLO, I WOULD LIKE TO FOLLOW UP ON MY INQUIRY IN JANUARY. I RECEIVED A RECALL NOTIFICATION, CAN YOU TELL ME WHAT TIMEFRAME THAT MY HUSBAND, (B)(6) WOULD HAVE RECEIVED THE SALINE SOLUTION? PAST 14 MONTHS, BEFORE HE PASSED, HE HAD CONTINUOUS BLOOD INFECTIONS, WHICH CAUSED HIM MANY TRIPS TO THE ICU I WOULD REALLY LIKE TO GET SOME DETAILS ON THIS RECALL. I HAVE ALSO BE REACHED OUT TO THE FDA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1123730 NURSE ASSIST, LLC 0.9% NORMAL SALINE FOR IRRIGATION USP IN SCREW BOTTLE TOP FRO NURSE ASSIST, LLC NA

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death