FDA Adverse Event Injury Summary report: N

NATURALYTE

MDR report key: 2930416 · Received January 23, 2013

Report

Report Number
1225714-2013-00030
Event Type
Injury
Date Received
January 23, 2013
Date of Event
January 1, 2012
Report Date
December 26, 2012
Manufacturer
FRESENIUS MEDICAL CARE NORTH AMERICA
Product Code
KPO
PMA / PMN Number
K070177
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE PT EXPERIENCED A CARDIOVASCULAR EVENT ON OR ABOUT (B)(6) 2012 AFTER THE USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
32475 NATURALYTE DRY ACID CONCENTRATE FOR BICARBONATE DIALYSIS KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

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