BEUDAMED
    FDA Adverse Event Death Summary report: N

    NATURALYTE

    MDR report key: 4890702 · Received July 1, 2015

    Report

    Report Number
    1225714-2015-04556
    Event Type
    Death
    Date Received
    July 1, 2015
    Date of Event
    June 24, 2013
    Report Date
    June 18, 2015
    Manufacturer
    FRESENIUS MEDICAL CARE NORTH AMERICA
    Product Code
    KPO
    PMA / PMN Number
    K981043
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Additional Manufacturer Narrative · 1

    ADDITIONAL INFORMATION WAS RECEIVED. FURTHER ATTEMPTS WERE MADE TO OBTAIN COMPLETE COMPLAINT DETAILS AND UPON RECEIPT WILL BE SUBMITTED ACCORDINGLY. THIS IS ONE OF TWO DEVICE REPORTS ASSOCIATED WITH THIS EVENT. THE RELATED MANUFACTURER REPORT NUMBERS ARE 1225714-2015-04555 AND 1225714-2015-04556.

    Additional Manufacturer Narrative · 1

    (B)(4). THIS IS ONE OF TWO DEVICE REPORTS ASSOCIATED WITH THIS EVENT.

    Description of Event or Problem · 1

    ADDITIONAL INFORMATION ALLEGED THAT THE PATIENT EXPERIENCED A SUDDEN CARDIAC EVENT.

    Description of Event or Problem · 1

    THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE PATIENT EXPERIENCED A CARDIAC EVENT AND EXPIRED ON THE SAME DAY, WHICH IS ALLEGED TO HAVE BEEN CAUSED BY THE PATIENT'S EXPOSURE TO THE PRODUCT ADMINISTERED DURING DIALYSIS TREATMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    426452 NATURALYTE KPO FRESENIUS MEDICAL CARE NORTH AMERICA

    Patients

    Seq Age Sex Outcome Treatment
    1 Death| L