FDA Adverse Event
Death
Summary report: N
GELCLAIR GEL (90 PACK)
MDR report key: 10867697
·
Received November 18, 2020
Report
- Report Number
- MW5097964
- Event Type
- Death
- Date Received
- November 18, 2020
- Date of Event
- November 17, 2020
- Report Date
- November 17, 2020
- Manufacturer
- MIDATECH PHARMA / HELSINN HEALTHCARE SA
- Product Code
- MGQ
- UDI-DI
- 89141045603
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
PATIENT DECEASED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1330340 | GELCLAIR GEL (90 PACK) | DRESSING, WOUND AND BURN, HYDROGEL W/DRUG AND/OR BIOLOGIC | MGQ | MIDATECH PHARMA / HELSINN HEALTHCARE SA | 093811 | 89141045603 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Death |