BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SYNVISC (3X2ML PREFILLED SYR)

    MDR report key: 12384748 · Received August 27, 2021

    Report

    Report Number
    MW5103560
    Event Type
    Malfunction
    Date Received
    August 27, 2021
    Date of Event
    July 14, 2021
    Report Date
    July 14, 2021
    Manufacturer
    GENZYME CORPORATION
    Product Code
    MOZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    MD OFFICE TO REPORT THAT WHEN THE MD STAFF OPENED THE MEDICATION (TODAY (B)(6) 2021), THE PLUNGER FELL OUT. THE PATIENT HAS NOT YET STARTED THE COURSE OF THERAPY, SO THERE HAS NOT YET BEEN ANY MISSED DOSES, NO OTHER INFORMATION PROVIDED. REPORTED TO (B)(6) BY HEALTH PROFESSIONAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1277883 SYNVISC (3X2ML PREFILLED SYR) ACID, HYALURONIC, INTRAARTICULAR MOZ GENZYME CORPORATION 9RST023C

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR