BEUDAMED
    FDA Adverse Event Death Summary report: N

    NUTRIMOST

    MDR report key: 4368312 · Received December 22, 2014

    Report

    Report Number
    MW5039813
    Event Type
    Death
    Date Received
    December 22, 2014
    Date of Event
    December 16, 2014
    Report Date
    December 22, 2014
    Product Code
    GZO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PT SUFFERED A CARDIAC ARREST WHILE ON THE NUTRIMOST DIET SYSTEM. HER SERUM POTASSIUM WAS 2.2 MEG/L WHEN FIRST MEASURED. DATES OF USE: (B)(6) 2014. DIAGNOSIS OR REASON FOR USE: WEIGHT LOSS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    841650 NUTRIMOST DIET SYSTEM GZO

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Death SOTALOL 160 MG PO BID| FUROSEMIDE 40 MG PO DAILY| MONTELUCAST 10 MG PO DAILY| METFORMIN 500 MG PO BID| RIVAROXIBAN 20 MG PO DAILY| ALPRAZOLAM 0.25 MG PO TID| AMITRIPTYLINE 100MG PO DAILY| MELOXICAM 15 MG PO DAILY| CITALOPRAM 40 MG PO DAILY| ALLOPURINOL 100MG PO DAILY