BEUDAMED
    FDA Adverse Event Death Summary report: N

    MUGARD ORAL RINSE 240ML/BTL

    MDR report key: 17135810 · Received June 14, 2023

    Report

    Report Number
    MW5118406
    Event Type
    Death
    Date Received
    June 14, 2023
    Date of Event
    June 7, 2023
    Report Date
    June 12, 2023
    Manufacturer
    SOLEVA PHARMA LLC
    Product Code
    MGQ
    UDI-DI
    89109010801
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    EVENT: (B)(6) AT MD OFFICE CONFIRMED THAT THE PT PASSED AWAY ON (B)(6) 2023. GENTLY SWISH AND EXPEL 5ML BY MOUTH FOR 30-60 SECONDS OR LONGER 4-6 TIMES DAILY. DO NOT EAT OR DRINK FOR 1 HOUR AFTER USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2057304 MUGARD ORAL RINSE 240ML/BTL DRESSING, WOUND AND BURN, HYDROGEL W/DRUG AND/OR BIOLOGIC MGQ SOLEVA PHARMA LLC MV1040 89109010801

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Male Death