FDA Adverse Event
Death
Summary report: N
FRESENIUS 2008K
MDR report key: 4105675
·
Received September 2, 2014
Report
- Report Number
- 1225714-2014-10296
- Event Type
- Death
- Date Received
- September 2, 2014
- Date of Event
- November 18, 2011
- Report Date
- August 14, 2014
- Manufacturer
- FRESENIUS MEDICAL CARE NORTH AMERICAL
- 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) FOR THE SAME PATIENT INVOLVING THREE SEPARATE PRODUCTS.
Description of Event or Problem · 1
THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE DECEDENT EXPIRED ON (B)(6) 2011 AFTER THE USE OF THE PRODUCT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 534268 | FRESENIUS 2008K | KDI | FRESENIUS MEDICAL CARE NORTH AMERICAL | 2008K |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Death |