FDA Adverse Event Death Summary report: N

GELCLAIR GEL PAP

MDR report key: 9081826 · Received September 17, 2019

Report

Report Number
MW5089840
Event Type
Death
Date Received
September 17, 2019
Report Date
September 16, 2019
Manufacturer
HELSINN HEALTHCARE SA
Product Code
MGQ
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MA, US
Reporter Occupation
PHARMACIST

Narratives

Description of Event or Problem · 1

PT PASSED AWAY. DOSE OR AMOUNT: 15 ML MILLILITRE(S), ORAL - 3 TIMES A DAY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
872505 GELCLAIR GEL PAP DRESSING, WOUND AND BURN, HYDROGEL W/ DRUG AND /OR BIOLOGIC GENERAL & PLASTIC SU MGQ HELSINN HEALTHCARE SA 355611

Patients

Seq Age Sex Outcome Treatment
1 31 YR Death