FDA Adverse Event
Injury
Summary report: N
FRESENIUS 2008K
MDR report key: 3810838
·
Received April 25, 2014
Report
- Report Number
- 2937457-2014-00703
- Event Type
- Injury
- Date Received
- April 25, 2014
- Date of Event
- July 1, 2012
- Report Date
- March 27, 2014
- Manufacturer
- FRESENIUS MEDICAL CARE NORTH AMERICA
- Product Code
- KDI
- PMA / PMN Number
- 994267
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- ATTORNEY
Narratives
Additional Manufacturer Narrative · 1
THIS IS ONE EVENT (CARDIOVASCULAR) FOR THE SAME PT INVOLVING THREE SEPARATE PRODUCTS; ASSOCIATED MDRS # 1225714-2014-01714 AND 1225714-2014-01713.
Description of Event or Problem · 1
THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE PT EXPERIENCED A CARDIOVASCULAR EVENT ON (B)(6) 2012, AFTER THE USE OF THE PRODUCT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 250650 | FRESENIUS 2008K | KDI | FRESENIUS MEDICAL CARE NORTH AMERICA | 2008K |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| L| O| R| S |