BEUDAMED
    FDA Adverse Event Death Summary report: N

    MUGARD ORAL RINSE 240ML/BTL

    MDR report key: 21057026 · Received January 2, 2025

    Report

    Report Number
    MW5164152
    Event Type
    Death
    Date Received
    January 2, 2025
    Report Date
    December 26, 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: THE PATIENT WAS MARKED DECEASED IN (B)(6) RETAIL SYSTEM WHICH FLOWED TO (B)(6) SPECIALTY SYSTEM, AND WE ARE REPORTING PER CONTRACTUAL REQUIREMENTS AND STANDARD OPERATING PROCEDURE WITHIN ONE BUSINESS DAY; HOWEVER, NO CAUSE OF DEATH KNOWN. DATE OF DEATH UNKNOWN AND NO FURTHER INFORMATION AVAILABLE. FREQ: SWISH AND SWALLOW 5ML AS DIRECTED 4-6 TIMES PER DAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1911284 MUGARD ORAL RINSE 240ML/BTL DRESSING, WOUND AND BURN, HYDROGEL W/DRUG AND/OR BIOLOGIC MGQ SOLEVA PHARMA LLC.

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Female Death