FDA Adverse Event
Malfunction
Summary report: N
MONOVISC (HYALURONATE SODIUM, STABILIZED)
MDR report key: 11752233
·
Received April 29, 2021
Report
- Report Number
- MW5101085
- Event Type
- Malfunction
- Date Received
- April 29, 2021
- Date of Event
- April 21, 2021
- Report Date
- April 28, 2021
- Manufacturer
- DEPUY MITEK / ANIKA THERAPEUTICS, INC.
- Product Code
- MOZ
- UDI-DI
- 59676082001
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- PHARMACIST
Narratives
Description of Event or Problem · 1
MONOVISC (HYALURONATE SODIUM, STABILIZED) INJECTION FOR A PATIENT WAS FOUND TO HAVE WHITE MATERIAL FLOATING IN THE SYRINGE. NDC 59676-0820-01 LOT # 0000004864 MANUFACT: DEPUY MITEK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 646164 | MONOVISC (HYALURONATE SODIUM, STABILIZED) | ACID, HYALURONIC, INTRAVASCULAR | MOZ | DEPUY MITEK / ANIKA THERAPEUTICS, INC. | 0000004864 | 59676082001 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |