MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-12-22 for NUTRIMOST manufactured by .
[20297274]
Pt suffered a cardiac arrest while on the nutrimost diet system. Her serum potassium was 2. 2 meg/l when first measured. Dates of use: (b)(6) 2014. Diagnosis or reason for use: weight loss.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5039813 |
| MDR Report Key | 4368312 |
| Date Received | 2014-12-22 |
| Date of Report | 2014-12-22 |
| Date of Event | 2014-12-16 |
| Date Added to Maude | 2014-12-31 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | PHARMACIST |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | NUTRIMOST |
| Generic Name | DIET SYSTEM |
| Product Code | GZO |
| Date Received | 2014-12-22 |
| Device Availability | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Death | 2014-12-22 |