BEUDAMED
    FDA Adverse Event Death Summary report: N

    BAXTER HOMECHOICE CYCLER

    MDR report key: 491055 · Received August 20, 2003

    Report

    Report Number
    491055
    Event Type
    Death
    Date Received
    August 20, 2003
    Date of Event
    July 29, 2003
    Report Date
    July 31, 2003
    Manufacturer
    BAXTER HEALTHCARE CORP RENAL DIV
    Product Code
    FKX
    Report Source
    User Facility report
    Reporter Location
    CT, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    SPOUSE CALLED IN 2003 TO REPORT PT WAS FOUND EXPIRED IN BED. PT CONNECTED TO CYCLER WITH END OF THERAPY DISPLAYED. IF PT DEATH OCCURRED DURING OR AFTER TREATMENT. AUTOSPY TO BE DONE @ REQUEST OF FAMMILY NO C/O BY PT PER WIFE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER HOMECHOICE CYCLER PERITONEAL DIALYSIS CYCLER FKX BAXTER HEALTHCARE CORP RENAL DIV HOMECHOICE *

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Death