FDA Adverse Event Death Summary report: N

GRANUFLO

MDR report key: 2992163 · Received March 4, 2013

Report

Report Number
1225714-2013-00207
Event Type
Death
Date Received
March 4, 2013
Date of Event
June 4, 2012
Report Date
February 6, 2013
Manufacturer
FRESENIUS MEDICAL CARE NORTH AMERICA
Product Code
KPO
PMA / PMN Number
K030497
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, 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 OR ABOUT (B)(6) 2012 AFTER USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
91419 GRANUFLO DRY ACID CONCENTRATE FOR BICARBONATE DIALYSIS KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

Seq Age Sex Outcome Treatment
1 Death