BEUDAMED
    FDA Adverse Event Death Summary report: N

    DUROLANE

    MDR report key: 11831315 · Received May 14, 2021

    Report

    Report Number
    MW5101361
    Event Type
    Death
    Date Received
    May 14, 2021
    Date of Event
    August 1, 2020
    Report Date
    May 13, 2021
    Manufacturer
    BIOVENTUS LLC
    Product Code
    MOZ
    UDI-DI
    89130202001
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    003

    Narratives

    Description of Event or Problem · 1

    PATIENT'S BROTHER REPORTED THAT THE PATIENT PASSED AWAY ON (B)(6) 2020.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    725591 DUROLANE ACID, HYALURONIC, INTRAARTICULAR MOZ BIOVENTUS LLC 89130202001

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR Death