BEUDAMED
    FDA Adverse Event Death Summary report: N

    EUFLEXXA 10MG/ML 2ML

    MDR report key: 12589858 · Received October 6, 2021

    Report

    Report Number
    MW5104438
    Event Type
    Death
    Date Received
    October 6, 2021
    Date of Event
    February 16, 2021
    Report Date
    October 4, 2021
    Manufacturer
    FERRING / BIO-TECHNOLOGY GENERAL (ISRAEL) LTD.
    Product Code
    MOZ
    UDI-DI
    55566410001
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PT'S DAUGHTER REPORTED THAT THE PT PASSED AWAY ON (B)(6) 2021. (B)(6) ONLY FILLED (B)(6) 2020. (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1481692 EUFLEXXA 10MG/ML 2ML ACID, HYALURONIC, INTRAARTICULAR MOZ FERRING / BIO-TECHNOLOGY GENERAL (ISRAEL) LTD. 55566410001

    Patients

    Seq Age Sex Outcome Treatment
    1 87 YR Death