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 |