FDA Adverse Event Death Summary report: N

GRANUFLO

MDR report key: 3847530 · Received May 19, 2014

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Report

Report Number
1225714-2014-02796
Event Type
Death
Date Received
May 19, 2014
Date of Event
July 24, 2007
Report Date
April 18, 2014
Manufacturer
FRESENIUS MEDICAL CARE NORTH AMERICA
Product Code
KPO
PMA / PMN Number
K030497
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 TWO EVENTS REPORTED ON THE SAME PT INVOLVING TWO SEPARATE PRODUCTS AND ASSOCIATED WITH MDRS # 1225714-2014-02794, 1225714-2014-02795, 1225714-2014-02796 AND 1225714-2014-02797.

Description of Event or Problem · 1

THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE DECEDENT EXPERIENCED A CARDIOVASCULAR EVENT ON OR ABOUT (B)(6) 2007 AND SUBSEQUENTLY EXPIRED ON (B)(6) 2007 AFTER THE USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
295750 GRANUFLO KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

Seq Age Sex Outcome Treatment
1 Death