FDA Adverse Event Death Summary report: N

NATURALYTE

MDR report key: 3820357 · Received May 9, 2014

Report

Report Number
1225714-2014-02458
Event Type
Death
Date Received
May 9, 2014
Date of Event
June 25, 2008
Report Date
February 25, 2016
Manufacturer
FRESENIUS MEDICAL CARE NORTH AMERICA
Product Code
KPO
PMA / PMN Number
K070177
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION HAS BEEN REQUESTED AND WILL BE SUBMITTED UPON RECEIPT ACCORDINGLY. THIS IS ONE EVENT FOR THE SAME PATIENT INVOLVING TWO SEPARATE PRODUCTS; ASSOCIATED MDR NUMBERS: #1225714-2014-02457 AND 1225714-2014-02458.

Additional Manufacturer Narrative · 1

THIS IS ONE EVENT (DEATH) FOR THE SAME PATIENT INVOLVING TWO SEPARATE PRODUCTS. ASSOCIATED MDRS: 1225714-2014-02457 AND 1225714-2014-02458.

Description of Event or Problem · 1

THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE DECEDENT EXPERIENCED A CARDIOVASCULAR EVENT ON OR ABOUT (B)(6) 2008 AND SUBSEQUENTLY EXPIRED AFTER THE USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
282276 NATURALYTE KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

Seq Age Sex Outcome Treatment
1 Death