FDA Adverse Event Death Summary report: N

NATURALYTE

MDR report key: 4908150 · Received July 9, 2015

Report

Report Number
1225714-2015-04910
Event Type
Death
Date Received
July 9, 2015
Date of Event
November 25, 2008
Report Date
June 29, 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

THE PLAINTIFF'S ATTORNEY ALLEGED THAT THE PATIENT EXPERIENCED A CARDIORESPIRATORY ARREST 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
447285 NATURALYTE KPO KPO FRESENIUS MEDICAL CARE NORTH AMERICA

Patients

Seq Age Sex Outcome Treatment
1 Death| L