FDA Adverse Event Other Summary report: N

SYNVISC (HYLAN G-F 20) INJECTION

MDR report key: 1220544 · Received November 3, 2008

Report

Report Number
2246315-2008-00158
Event Type
Other
Date Received
November 3, 2008
Date of Event
October 14, 2008
Report Date
October 20, 2008
Manufacturer
GENZYME BIOSURGERY (RIDGEFIELD)
Product Code
MOZ
PMA / PMN Number
P940015
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: THE PRODUCTION AND QUALITY CONTROL DOCUMENTATION FOR LOT# PO822, EXPIRY DATE 02/2011 WAS REVIEWED. THE INVESTIGATION SHOWED THAT THE PRODUCT MET SPECIFICATIONS. NO ASSOCIATED NON-CONFORMANCES WERE NOTED.

Description of Event or Problem · 1

RIGHT KNEE EFFUSION [JOINT EFFUSION]; KNEE SWELLING [JOINT SWELLING]; RIGHT KNEE PAIN [ARTHRALGIA]; UNABLE TO SLEEP [INSOMNIA]; COULD NOT WALK [ABASIA]. CASE DESCRIPTION: SPONTANEOUS REPORT RECEIVED ON 20-OCT-2008 FROM A (B) (6) FEMALE WITH A HISTORY OF ARTHRITIS, LEFT TOTAL KNEE REPLACEMENT ON (B) (6) 2008 AND PREVIOUS TREATMENT WITH SYNVISC AND ORTHOVISC, (B) (6), WHO EXPERIENCED RIGHT KNEE PAIN, RIGHT KNEE SWELLING, UNABLE TO SLEEP, COULD NOT WALK AND RIGHT KNEE EFFUSION AFTER STARTING SYNVISC. THE PATIENT RECEIVED THE FIRST INJECTION OF SYNVISC INTO THE RIGHT KNEE ON (B) (6) 2008. SHE EXPERIENCED "A LITTLE BIT" OF KNEE PAIN AND SWELLING AFTER THAT INJECTION THAT RESOLVED AFTER TREATMENT WITH ICE. SHE RECEIVED THE SECOND INJECTION INTO THE RIGHT KNEE ON (B) (6) 2008 AND AGAIN EXPERIENCED PAIN AND SWELLING POST-INJECTION. THE NIGHT, SHE WAS UNABLE TO SLEEP AND FOUND SHE COULD NOT WALK WHEN SHE ATTEMPTED TO ON THE MORNING OF (B) (6) 2008. SHE WAS SEEN BY THE INJECTING PHYSICIAN ON (B) (6) 2008, WHO WITHDREW FLUID AND INJECTED A CORTISONE SHOT. AS OF THE DATE OF THIS REPORT, THE EVENTS OF PAIN AND SWELLING HAD IMPROVED, BUT NOT RESOLVED. THE OUTCOME OF THE EVENTS UNABLE TO SLEEP AND UNABLE TO WALK WAS UNKNOWN AND THE EVENT RIGHT KNEE EFFUSION WAS RECOVERED. ADDITIONAL INFORMATION IN THE FORM OF A QA REPORT WAS RECEIVED 22-OCT-2008. QA RESULTS: THE PRODUCTION AND QUALITY CONTROL DOCUMENTATION FOR LOT# PO822, EXPIRY DATE 02/2011 WAS REVIEWED. THE INVESTIGATION SHOWED THAT THE PRODUCT MET SPECIFICATIONS. NO ASSOCIATED NON-CONFORMANCES WERE NOTED. (B) (4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNVISC (HYLAN G-F 20) INJECTION INTRA-ARTICULAR HYALURONIC ACID MOZ GENZYME BIOSURGERY (RIDGEFIELD) UNK P0822

Patients

Seq Age Sex Outcome Treatment
1 75 YR Required Intervention