FDA Adverse Event Death Summary report: N

NATURALYTE

MDR report key: 3845329 · Received May 14, 2014

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Report

Report Number
1225714-2014-02670
Event Type
Death
Date Received
May 14, 2014
Date of Event
August 27, 2007
Report Date
April 17, 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 (DEATH) OF FOUR EVENTS REPORTED FOR THE SAME PATIENT INVOLVING TWO SEPARATE PRODUCTS; ASSOCIATED MDRS: #1225714-2014-02663, 02664, 02665, 02666, 02667, 02668, 02669, AND 02670.

Description of Event or Problem · 1

THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE DECEDENT EXPERIENCED THREE SEPARATE CARDIOVASCULAR EVENTS ON UNKNOWN DATES IN JULY 2007 AND SUBSEQUENTLY EXPIRED ON OR ABOUT (B)(6) 2007, AFTER THE USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
288786 NATURALYTE KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

Seq Age Sex Outcome Treatment
1 Death