BEUDAMED
    FDA Adverse Event Death Summary report: N

    NATURALYTE

    MDR report key: 4898040 · Received July 3, 2015

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    Report

    Report Number
    1225714-2015-04664
    Event Type
    Death
    Date Received
    July 3, 2015
    Date of Event
    June 15, 2011
    Report Date
    June 22, 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

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

    Description of Event or Problem · 1

    PLAINTIFF'S ATTORNEY ALLEGED THE PATIENT EXPERIENCED A SUDDEN CARDIAC EVENT SUBSEQUENTLY CAUSING THE PATIENT TO EXPIRE. FURTHERMORE, IT WAS ALLEGED TO HAVE BEEN CAUSED BY THE PRODUCT ADMINISTERED DURING DIALYSIS TREATMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    433947 NATURALYTE KPO FRESENIUS MEDICAL CARE NORTH AMERICA

    Patients

    Seq Age Sex Outcome Treatment
    1 Death| L