FDA Adverse Event Injury Summary report: N

NATURALYTE

MDR report key: 3030281 · Received March 28, 2013

Report

Report Number
1225714-2013-00370
Event Type
Injury
Date Received
March 28, 2013
Date of Event
July 1, 2011
Report Date
March 1, 2013
Manufacturer
FRESENIUS MEDICAL CARE NORTH AMERICA
Product Code
KPO
PMA / PMN Number
K070177
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

THIS MEDWATCH REPORT IS ASSOCIATED WITH MDR # 1225714-2013-00369.

Description of Event or Problem · 1

THE PLAINTIFF'S ATTORNEY ALLEGED THE PLAINTIFF EXPERIENCED A CARDIOVASCULAR EVENT IN OR ABOUT (B)(6) 2011 AFTER USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
129679 NATURALYTE DRY ACID CONCENTRATE FOR BICARBONATE DIALYSIS KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

Seq Age Sex Outcome Treatment
1 34 YR Hospitalization| L| O| R| S