FDA Adverse Event Death Summary report: N

LIBERTY CYCLER

MDR report key: 4200866 · Received October 22, 2014

Report

Report Number
2937457-2014-03031
Event Type
Death
Date Received
October 22, 2014
Date of Event
October 1, 2013
Report Date
September 26, 2014
Manufacturer
FRESENIUS MEDICAL CARE NORTH AMERICA
Product Code
FKX
PMA / PMN Number
K043363
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PATIENT PASSED AWAY IN (B)(6) 2013, NO ADDITIONAL INFO AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
673827 LIBERTY CYCLER FKX FKX FRESENIUS MEDICAL CARE NORTH AMERICA LIB

Patients

Seq Age Sex Outcome Treatment
1 Death