BEUDAMED
    FDA Adverse Event Death Summary report: N

    GRANUFLO

    MDR report key: 2912641 · Received January 9, 2013

    Report

    Report Number
    1225714-2013-00009
    Event Type
    Death
    Date Received
    January 9, 2013
    Date of Event
    December 17, 2010
    Report Date
    December 26, 2012
    Manufacturer
    FRESENIUS MEDICLA CARE NORTH AMERICA
    Product Code
    KPO
    PMA / PMN Number
    K030497
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE DECEDENT EXPERIENCED A CARDIOVASCULAR EVENT AND SUBSEQUENTLY EXPIRED ON (B)(6) 2010, AFTER THE USE OF THE PRODUCT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    12383 GRANUFLO DRY ACID CONCENTRATE FOR BICARBONATE DIALYSIS KPO FRESENIUS MEDICLA CARE NORTH AMERICA

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Death