BEUDAMED
    FDA Adverse Event Death Summary report: N

    *

    MDR report key: 365028 · Received December 11, 2001

    Report

    Report Number
    MW1023572
    Event Type
    Death
    Date Received
    December 11, 2001
    Date of Event
    November 29, 2001
    Report Date
    December 11, 2001
    Manufacturer
    UCSD TISSUE BANK
    Product Code
    LMO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    ONE OF TWO PTS AT INSTITUTION WITH INVASIVE FUSARIUM SP INFECTION OF SOFT TISSUES, POST-ALLOGRAFTING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    55858 * SKIN ALLOGRAFT LMO UCSD TISSUE BANK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Death