FDA Adverse Event Death Summary report: N

PROSORBA COLUMN

MDR report key: 566284 · Received January 14, 2005

Report

Report Number
3032792-2005-00001
Event Type
Death
Date Received
January 14, 2005
Date of Event
December 13, 2004
Report Date
January 13, 2005
Manufacturer
FRESENIUS HEMOCARE, INC.
Product Code
LQQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PT ADMITTED TO ICU IN THE EVENING AFTER THEIR 1ST PROSORBA TREATMENT "VENTILATED AND POSTURING". THEY WERE DIAGNOSED WITH BASAL GANGLIA STROKE POSSIBLY DUE TO HYPERTENSIVE CRISIS. RESULTS OF CT WERE NEGATIVE HOWEVER INFO IS PENDING ON A 2ND CT. ACCORDING TO THE APHERESIS PROVIDER, THE PT'S BP WAS VERY HIGH ON ADMISSION. THIS PT HAD NOT TAKEN THEIR ANTIHYPERTENSIVE MEDICATIONS PRIOR TO THEIR TREATMENT AND A FAMILY MEMBER REVEALED THAT THEY DID NOT TAKE THEM AFTER THEY RETURNED HOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PROSORBA COLUMN PROSORBA COLUMN LQQ FRESENIUS HEMOCARE, INC. 9798701 QHN001A

Patients

Seq Age Sex Outcome Treatment
1 67 YR Death EFFOXOR, NORCO.| OXYCODONE, METOPROLO, ASPIRIN, GABAPENTIN,| PREDNISONE, PROPANOLOL, TRAZEDONE, CIMETIDINE,