FDA Adverse Event Death Summary report: N

MUGARD ORAL RINSE 240ML/BTL

MDR report key: 19476533 · Received June 5, 2024

Report

Report Number
MW5155779
Event Type
Death
Date Received
June 5, 2024
Date of Event
May 8, 2024
Report Date
June 3, 2024
Manufacturer
SOLEVA PHARMA LLC.
Product Code
MGQ
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: PATIENT PASSED AWAY. FREQ: USE AS DIRECTED TAKE 5 MLS IN THE MOUTH OR THROAT FOUR TIMES DAILY. PRESCRIBER CONTACT INFO: (B)(6).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2244422 MUGARD ORAL RINSE 240ML/BTL DRESSING, WOUND AND BURN, HYDROGEL W/DRUG AND/OR BIOLOGIC MGQ SOLEVA PHARMA LLC. MW1040

Patients

Seq Age Sex Outcome Treatment
1 71 YR Male Death