BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GRANUFLO

    MDR report key: 3896207 · Received June 13, 2014

    Report

    Report Number
    1225714-2014-04544
    Event Type
    Injury
    Date Received
    June 13, 2014
    Date of Event
    November 18, 2011
    Report Date
    May 16, 2014
    Manufacturer
    FRESENIUS MEDICAL CARE
    Product Code
    KPO
    PMA / PMN Number
    K030497
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Additional Manufacturer Narrative · 1

    THIS IS ONE EVENT (CARDIOVASCULAR) FOR THE SAME PATIENT INVOLVING TWO SEPARATE PRODUCTS. ASSOCIATED MDRS: 1225714-2014-04544 AND 1225714-2014-04545.

    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
    351190 GRANUFLO KPO FRESENIUS MEDICAL CARE

    Patients

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