BEUDAMED
    FDA Adverse Event Death Summary report: N

    MUGARD

    MDR report key: 17424677 · Received July 28, 2023

    Report

    Report Number
    MW5120337
    Event Type
    Death
    Date Received
    July 28, 2023
    Date of Event
    June 18, 2023
    Report Date
    July 20, 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 Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    PT PASSED AWAY. ADD'L INFO: USE-5-10ML IN THE MOUTH 4-6 TIMES DAILY MAY SWISH AND /OR SWALLOW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1157747 MUGARD DRESSING, WOUND AND BURN, HYDROGEL W/DRUG AND/OR BIOLOGIC MGQ SOLEVA PHARMA LLC MV1038 89109010801

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Female Death