MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-09-17 for GELCLAIR GEL PAP manufactured by Helsinn Healthcare Sa.
Report Number | MW5089840 |
MDR Report Key | 9081826 |
Date Received | 2019-09-17 |
Date of Report | 2019-09-16 |
Date Added to Maude | 2019-09-18 |
Event Key | 0 |
Report Source Code | Voluntary report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 0 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | PHARMACIST |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 0 |
Brand Name | GELCLAIR GEL PAP |
Generic Name | DRESSING, WOUND AND BURN, HYDROGEL W/ DRUG AND /OR BIOLOGIC GENERAL & PLASTIC SU |
Product Code | MGQ |
Date Received | 2019-09-17 |
Lot Number | 355611 |
Device Expiration Date | 2019-11-30 |
Device Availability | N |
Device Eval'ed by Mfgr | I |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | HELSINN HEALTHCARE SA |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Death | 2019-09-17 |