FDA Adverse Event
Malfunction
Summary report: N
SYNVISC ONE PFS 8MG/ML
MDR report key: 10501581
·
Received September 4, 2020
Report
- Report Number
- MW5096461
- Event Type
- Malfunction
- Date Received
- September 4, 2020
- Date of Event
- September 3, 2020
- Report Date
- September 3, 2020
- Manufacturer
- GENZYME CORPORATION
- Product Code
- MOZ
- UDI-DI
- 58468009003
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- PHYSICIAN ASSISTANT
Narratives
Description of Event or Problem · 1
(B)(6) MED ASST FROM THE DR'S OFFICE CALLED TO SAY THE DOCTOR FOUND A FOREIGN OBJECT FLOATING AROUND IN THE SYNVISC ONE PFS 8MG/ML. THE DOCTOR'S OFFICE SAID IT LOOKS LIKE FIBER FLOATING AROUND IN THE LIQUID. I HAVE PROVIDED THE MANUFACTURER'S TELEPHONE NUMBER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 956774 | SYNVISC ONE PFS 8MG/ML | ACID, HYALURONIC, INTRAARTICULAR | MOZ | GENZYME CORPORATION | UNK | 58468009003 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 36 YR |