FDA Adverse Event Death Summary report: N

FRESENIUS 2008K

MDR report key: 3934150 · Received June 27, 2014

Report

Report Number
2937457-2014-01342
Event Type
Death
Date Received
June 27, 2014
Date of Event
November 4, 2003
Report Date
May 27, 2014
Manufacturer
FRESENIUS MEDICAL CARE NORTH AMERICA
Product Code
KDI
PMA / PMN Number
K994267
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

THIS IS ONE EVENT (DEATH) OF THREE EVENTS FOR THE SAME PATIENT INVOLVING THREE SEPARATE PRODUCTS; ASSOCIATED MDRS 1225714-2014-05348, 1225714-2014-05349, 2937457-2014-01340, 1225714-2014-05350, 1225714-2014-05351, 2937457-2014-01341, 1225714-2014-05352, 1225714-2014-053553 AND 2937457-2014-01342.

Description of Event or Problem · 1

THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE DECEDENT EXPERIENCED A CARDIOVASCULAR EVENT ON OR ABOUT (B)(6) 2003, A CARDIOVASCULAR EVENT ON OR ABOUT (B)(6) 2003 AND A CARDIOVASCULAR EVENT ON OR ABOUT (B)(6) 2003 AND SUBSEQUENTLY EXPIRED AFTER THE USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
378291 FRESENIUS 2008K KDI FRESENIUS MEDICAL CARE NORTH AMERICA 2008K

Patients

Seq Age Sex Outcome Treatment
1 Death