FDA Adverse Event
Death
Summary report: N
MUGARD ORAL RINSE 240ML/BTL
MDR report key: 20134676
·
Received September 3, 2024
Report
- Report Number
- MW5159182
- Event Type
- Death
- Date Received
- September 3, 2024
- Date of Event
- August 26, 2024
- Report Date
- August 29, 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
(B)(6) SPOUSE, SAID PT PASSED AWAY (B)(6) 2024. FREQ: USE 5 ML SWISH AND EXPEL 4 TO 6 TIMES A DAY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1006715 | MUGARD ORAL RINSE 240ML/BTL | DRESSING, WOUND AND BURN, HYDROGEL W/DRUG AND/OR BIOLOGIC | MGQ | SOLEVA PHARMA LLC | MV1038 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 66 YR | Female | Death |