FDA Adverse Event Death Summary report: N

FRESENIUS 2008K

MDR report key: 3980375 · Received June 25, 2014

Report

Report Number
2937457-2014-01290
Event Type
Death
Date Received
June 25, 2014
Date of Event
July 3, 2009
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 TWO EVENTS REPORTED FOR THE SAME PATIENT INVOLVING THREE SEPARATE PRODUCTS; ASSOCIATED MDR #2937457-2014-01289, 2937457-2014-01290, 1225714-2014-05284, 1225714-2014-05285, 1225714-2014-05286 AND 1225714-2014-05287.

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
370862 FRESENIUS 2008K KDI FRESENIUS MEDICAL CARE NORTH AMERICA 2008K

Patients

Seq Age Sex Outcome Treatment
1 Death