FDA Adverse Event Death Summary report: N

GRANUFLO

MDR report key: 3040001 · Received April 3, 2013

Report

Report Number
1225714-2013-00441
Event Type
Death
Date Received
April 3, 2013
Date of Event
October 3, 2007
Report Date
March 7, 2013
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

Additional Manufacturer Narrative · 1

THIS IS ONE EVENT (DEATH) OF TWO EVENTS REPORTED AND ASSOCIATED WITH MDR #S 1225714-2013-00439, 1225714-2013-00440, 1225714-2013-00442.

Description of Event or Problem · 1

THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE DECEDENT EXPERIENCED A CARDIOVASCULAR EVENT ON (B)(6) 2007, AND SUBSEQUENTLY EXPIRED ON (B)(6) 2007, AFTER USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
137434 GRANUFLO DRY ACID CONCENTRATE FOR BICARBONATE DIALYSIS KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

Seq Age Sex Outcome Treatment
1 Death