FDA Adverse Event Death Summary report: N

GRANUFLO

MDR report key: 4810402 · Received June 1, 2015

Report

Report Number
1225714-2015-03399
Event Type
Death
Date Received
June 1, 2015
Date of Event
June 19, 2007
Report Date
May 11, 2015
Manufacturer
FRESENIUS MEDICAL CARE NORTH AMERICA
Product Code
KPO
PMA / PMN Number
K030497
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NM, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

THIS IS ONE OF TWO DEVICE REPORTS ASSOCIATED WITH THIS EVENT.

Description of Event or Problem · 1

THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE PT EXPERIENCED A CARDIAC EVENT AND SUBSEQUENTLY EXPIRED. THESE CLAIMS WERE ALLEGEDLY CAUSED BY THE PRODUCT WHICH WAS ADMINISTERED TO THE PT FOR DIALYSIS TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
353420 GRANUFLO KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

Seq Age Sex Outcome Treatment
1 Death| L