FDA Adverse Event Injury Summary report: N

GRANUFLO

MDR report key: 3821312 · Received May 9, 2014

Report

Report Number
1225714-2014-02391
Event Type
Injury
Date Received
May 9, 2014
Date of Event
December 16, 2011
Report Date
April 11, 2014
Manufacturer
FRESENIUS MEDICAL CARE NORTH AMERICA
Product Code
KPO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

THIS IS ONE EVENT (CARDIOVASCULAR) REPORTED ON THE SAME PATIENT INVOLVING TWO SEPARATE PRODUCTS MDRS # 1225714-2014-02391 AND 1225714-2014-02392.

Description of Event or Problem · 1

THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE DECEDENT EXPERIENCED A CARDIOVASCULAR EVENT ON OR ABOUT (B)(6) 2011, AFTER THE USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
282123 GRANUFLO KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| L| O| R| S