BEUDAMED
    FDA Adverse Event Death Summary report: N

    LIFENET

    MDR report key: 474239 · Received July 25, 2003

    Report

    Report Number
    MW1029108
    Event Type
    Death
    Date Received
    July 25, 2003
    Date of Event
    April 23, 2003
    Manufacturer
    LIFENET
    Product Code
    MIE
    Report Source
    Voluntary report
    Reporter Location
    NC, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    ADD'L INFO REC'D FROM RPTR 9/26/03. THE PT EXPIRED. SECONDARY TO OVERWHELMING FUNGAL INFECTION.

    Description of Event or Problem · 1

    ASPERGILLUS ENDOCARDITIS. EARLY ENDOCARDITIS ON HOMOGRAFT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFENET AORTIC HOMOGRAFT MIE LIFENET AORTIC VALVE *

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Death