FDA Adverse Event
Death
Summary report: N
DUROLANE 60MG/3ML
MDR report key: 14397129
·
Received May 12, 2022
Report
- Report Number
- MW5109666
- Event Type
- Death
- Date Received
- May 12, 2022
- Report Date
- May 11, 2022
- Manufacturer
- BIOVENTUS LLC.
- Product Code
- MOZ
- UDI-DI
- 89130202001
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PATIENT FAMILY MEMBER OR FRIEND
- Health Professional
- N
Narratives
Description of Event or Problem · 0
PT DECEASED. THE PT IS DECEASED AND WILL NO LONGER NEED DUROLANE KNEE INJECTIONS FROM CAREMED. CAREMED DISPENSED TWICE ALREADY IN 2021.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1387165 | DUROLANE 60MG/3ML | ACID, HYALURONIC, INTRAARTICULAR | MOZ | BIOVENTUS LLC. | 89130202001 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Female | Death |