BEUDAMED
    FDA Adverse Event Death Summary report: N

    AMUKIN-D

    MDR report key: 224609 · Received May 24, 1999

    Report

    Report Number
    8021034-1999-00001
    Event Type
    Death
    Date Received
    May 24, 1999
    Date of Event
    May 17, 1999
    Report Date
    May 17, 1999
    Manufacturer
    AMUCHINA S.P.A.
    Product Code
    LRJ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NM, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    INFO PROVIDED ON THE ORIGINAL REPORT. NO ADD'L INFO AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AMUKIN-D DISINFECTANT LRJ AMUCHINA S.P.A. NA 5041

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR Death| H 12) NORMADYNE,| 11) LISINOPRYL,| 3) CALCIFEX,| 4) CALTRO,| 19) VALCROIC.| 6) DILAN,| 13) PEPCID,| 17) ROCALTROL,| 8) HYDRALAZINE,| 9) FOLIC 450,| 10) LABETOLOL.| 7) EPOGEN,| 15) PROCARDIA,| 5) CLONIDINE,| 2) ALPRAZOLAM,| 1) ACETAMINOPHEN,| 18) SYNTHROID,| 16) RESTORIL,| 14) PRINIVIL,