FDA Adverse Event Death Summary report: N

NATURALYTE

MDR report key: 3892226 · Received June 10, 2014

Report

Report Number
1225714-2014-04305
Event Type
Death
Date Received
June 10, 2014
Date of Event
June 15, 2008
Report Date
May 14, 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 TWO EVENTS REPORTED FOR THE SAME PATIENT INVOLVING TWO SEPARATE PRODUCTS; ASSOCIATED MDRS #1225714-2014-04302, 1225714-2014-04303, 1225714-2014-04304, AND 1225714-2014-04305.

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 ON OR ABOUT (B)(6) 2008, AFTER THE USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
343386 NATURALYTE KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

Seq Age Sex Outcome Treatment
1 Death