FDA Adverse Event Death Summary report: N

ORTHOVISC (2ML/SYR)

MDR report key: 12384298 · Received August 27, 2021

Report

Report Number
MW5103548
Event Type
Death
Date Received
August 27, 2021
Date of Event
May 15, 2021
Report Date
August 25, 2021
Manufacturer
JANSSEN PRODUCTS / ANIKA THERAPEUTICS, INC.
Product Code
MOZ
Adverse Event
Yes
Report Source
Voluntary report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

PER PATIENT'S SPOUSE (B)(6), PATIENT HAS PASSED AWAY AS OF (B)(6) 2021. THE DEATH CERTIFICATE WAS INCLUDED. NO FURTHER INFORMATION PROVIDED INDICATION: BILATERAL POST-TRAUMATIC OSTEOARTHRITIS OF KNEE SPONTANEOUS CALL. REPORTED TO (B)(6) BY PT/CAREGIVER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1277871 ORTHOVISC (2ML/SYR) ACID, HYALURONIC, INTRAARTICULAR MOZ JANSSEN PRODUCTS / ANIKA THERAPEUTICS, INC.

Patients

Seq Age Sex Outcome Treatment
1 82 YR Death