BEUDAMED
    FDA Adverse Event Death Summary report: N

    MUGARD ORAL RINSE 240ML/BTL

    MDR report key: 18073690 · Received November 3, 2023

    Report

    Report Number
    MW5147762
    Event Type
    Death
    Date Received
    November 3, 2023
    Date of Event
    October 17, 2023
    Report Date
    October 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 CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    (B)(6) AT MD OFFICE CONFIRMED THAT THE PT PASSED AWAY ON (B)(6) 2023. SWISH AND SPIT OR SWALLOW 5-10 ML 4 TO 6 TIMES DAILY AS NEEDED FOR MUCOSITIS. AVOID EATING OR DRINKING FOR 1 HOUR AFTER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    341212 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 71 YR Male Death