FDA Adverse Event
Injury
Summary report: N
NATURALYTE
MDR report key: 3820844
·
Received May 8, 2014
Report
- Report Number
- 1225714-2014-02330
- Event Type
- Injury
- Date Received
- May 8, 2014
- Date of Event
- September 17, 2006
- Report Date
- April 10, 2014
- Manufacturer
- FRESENIUS MEDICAL CARE NORTH AMERICA
- Product Code
- KPO
- PMA / PMN Number
- K070177
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- ATTORNEY
Narratives
Additional Manufacturer Narrative · 1
THIS IS ONE EVENT (CEREBROVASCULAR) OF TWO EVENTS REPORTED ON THE SAME PATIENT INVOLVING TWO SEPARATE PRODUCTS AND ASSOCIATED WITH MDRS #1225714-2014-02329, 1225714-2014-02330, 1225714-2014-02331 AND 1225714-2014-02332.
Description of Event or Problem · 1
THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE DECEDENT EXPERIENCED A CEREBROVASCULAR EVENT ON OR ABOUT (B)(6) 2006 AND SUBSEQUENTLY EXPIRED ON (B)(6) 2006, AFTER THE USE OF THE PRODUCT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 279702 | NATURALYTE | KPO | FRESENIUS MEDICAL CARE NORTH AMERICA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| L| O| R| S |