FDA Adverse Event Death Summary report: N

FRESENIUS 2008K

MDR report key: 3946334 · Received June 19, 2014

Report

Report Number
2937457-2014-01127
Event Type
Death
Date Received
June 19, 2014
Date of Event
August 20, 2012
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 (DEATH) REPORTED FOR THE SAME PT INVOLVING THREE SEPARATE PRODUCTS; ASSOCIATED MDR #2937457-2014-01127, 1225714-2014-04892, AND 1225714-2014-04893.

Description of Event or Problem · 1

THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE DECEDENT EXPERIENCED A CARDIOVASCULAR EVENT ON OR ABOUT (B)(6) 2012 AND SUBSEQUENTLY EXPIRED AFTER THE USE OF THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
360791 FRESENIUS 2008K KDI FRESENIUS MEDICAL CARE NORTH AMERICA 2008K

Patients

Seq Age Sex Outcome Treatment
1 Death