FDA Adverse Event Death Summary report: N

BONOS R WITH GENTAMICIN

MDR report key: 7057706 · Received November 24, 2017

Report

Report Number
9615014-2017-00028
Event Type
Death
Date Received
November 24, 2017
Date of Event
October 12, 2017
Report Date
November 24, 2017
Manufacturer
AAP BIOMATERIALS GMBH
Product Code
MBB
PMA / PMN Number
K123081
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

CIRCULATORY ARREST, REANIMATION DURING SURGERY, PRIMARY SUCCESSFUL IN THE INTENSIVE CARE, A RENEWED CIRCULATORY COLLAPSE, AT THE REQUEST OF RELATIVES NO REANIMATION; PATIENT DIED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
836639 BONOS R WITH GENTAMICIN BONOS R WITH GENTAMICIN MBB AAP BIOMATERIALS GMBH 01-0233 17CA56131

Patients

Seq Age Sex Outcome Treatment
1 88 YR Death