BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NATURALYTE

    MDR report key: 3931834 · Received June 24, 2014

    Report

    Report Number
    1225714-2014-05157
    Event Type
    Injury
    Date Received
    June 24, 2014
    Date of Event
    December 9, 2009
    Report Date
    May 27, 2014
    Manufacturer
    FRESENIUS MEDICAL CARE NORTH AMERICA
    Product Code
    KPO
    PMA / PMN Number
    K070177
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Additional Manufacturer Narrative · 1

    THIS IS ONE EVENT (CARDIOVASCULAR) OF TWO EVENTS FOR THE SAME PT INVOLVING THREE SEPARATE PRODUCTS; ASSOCIATED MDR'S 1225714-2014-05156, 1225714-2014-05157, 2937457-2014-01228, 1225714-2014-05158, 1225714-2014-05159, 2937457-2014-01229.

    Description of Event or Problem · 1

    THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE DECEDENT EXPERIENCED A CARDIOVASCULAR EVENT ON OR ABOUT (B)(6) 2009 AND SUBSEQUENTLY EXPIRED ON (B)(6) 2009 AFTER THE USE OF THE PRODUCT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    369427 NATURALYTE KPO FRESENIUS MEDICAL CARE NORTH AMERICA

    Patients

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