FDA Adverse Event Injury Summary report: N

FRESENIUS 2008K

MDR report key: 3940312 · Received June 19, 2014

Report

Report Number
2937457-2014-01085
Event Type
Injury
Date Received
June 19, 2014
Date of Event
December 1, 2011
Report Date
May 21, 2014
Manufacturer
FRESENIUS MEDICAL CARE NORTH AMERICA
Product Code
KDI
PMA / PMN Number
994267
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

THIS IS ONE EVENT (CARDIOVASCULAR) FOR THE SAME PATIENT INVOLVING THREE SEPARATE PRODUCTS; ASSOCIATED MDR 1225714-2014-04835 AND 1225714-2014-04836.

Description of Event or Problem · 1

PLAINTIFF'S ATTORNEY ALLEGED THAT THE PATIENT EXPERIENCED A CARDIOVASCULAR EVENT ON (B)(6) 2011 AFTER THE USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
360772 FRESENIUS 2008K KDI FRESENIUS MEDICAL CARE NORTH AMERICA 2008K

Patients

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