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