FDA Adverse Event Death Summary report: N

BARRIGEL INJECTABLE GEL

MDR report key: 17873497 · Received October 4, 2023

Report

Report Number
3014909464-2023-00004
Event Type
Death
Date Received
October 4, 2023
Date of Event
September 15, 2023
Report Date
October 4, 2023
Manufacturer
PALETTE LIFE SCIENCES
Product Code
OVB
UDI-DI
00850004725108
PMA / PMN Number
K22641
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

3 DAYS FOLLOWING TURP OF PROSTATE, FIDUCIAL MARKET PLACEMENT AND INJECTION OF BARRIGEL PATIENT PASSED AWAY AT HOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
352412 BARRIGEL INJECTABLE GEL BARRIGEL OVB PALETTE LIFE SCIENCES 011508 00850004725108

Patients

Seq Age Sex Outcome Treatment
1 Male Death