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