FDA Adverse Event Death Summary report: N

FRESENIUS 2008K

MDR report key: 3946197 · Received June 19, 2014

Report

Report Number
2937457-2014-01163
Event Type
Death
Date Received
June 19, 2014
Date of Event
February 2, 2003
Report Date
May 23, 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) FOR THE SAME PT INVOLVING THREE SEPARATE PRODUCTS; ASSOCIATED MDRS # 1225714-2014-05036; 05037; AND 2937457-2014-01163.

Description of Event or Problem · 1

THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE DECEDENT EXPERIENCED CARDIOVASCULAR EVENTS 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
359718 FRESENIUS 2008K KDI FRESENIUS MEDICAL CARE NORTH AMERICA 2008K

Patients

Seq Age Sex Outcome Treatment
1 Death