FDA Adverse Event Death Summary report: N

NATURALYTE

MDR report key: 2896353 · Received December 31, 2012

Report

Report Number
1225714-2012-00058
Event Type
Death
Date Received
December 31, 2012
Date of Event
September 19, 2009
Report Date
December 14, 2012
Manufacturer
FRESENIUS MEDICAL CARE NORTH AMERICA
Product Code
KPO
PMA / PMN Number
K070177
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

THE PLAINTIFF'S ATTORNEY ALLEGED, THE DECEDENT EXPERIENCED A CARDIOVASCULAR EVENT AND SUBSEQUENTLY EXPIRED ON (B)(6) 2009 AFTER THE USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NATURALYTE DRY ACID CONCENTRATE FOR BICARBONATE DIALYSIS KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

Seq Age Sex Outcome Treatment
1 Death