FDA Adverse Event Injury Summary report: N

GRANUFLO

MDR report key: 2930411 · Received January 23, 2013

Report

Report Number
1225714-2013-00041
Event Type
Injury
Date Received
January 23, 2013
Date of Event
January 6, 2012
Report Date
December 26, 2012
Manufacturer
FRESENIUS MEDICAL CARE NORTH AMERICA
Product Code
KPO
PMA / PMN Number
K030497
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 THAT THE PT EXPERIENCED A CARDIOVASCULAR EVENT ON (B)(6) 2011 AFTER THE USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
31973 GRANUFLO DRY ACID CONCENTRATE FOR BICARBONATE DIALYSIS KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

Seq Age Sex Outcome Treatment
1 Life Threatening| O| S