FDA Adverse Event Other Summary report: N

SYNVISC (HYLAN G-F 20) INJECTION

MDR report key: 1981206 · Received January 27, 2011

Report

Report Number
2246315-2011-00012
Event Type
Other
Date Received
January 27, 2011
Date of Event
January 6, 2011
Report Date
January 14, 2011
Manufacturer
GENZYME BIOSURGERY (RIDGEFIELD)
Product Code
MOZ
PMA / PMN Number
PMA P940015
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

MANUFACTURER'S COMMENT: THE BENEFIT-RISK RELATIONSHIP OF THE PRODUCT IS NOT AFFECTED BY THE REPORT. EVALUATION SUMMARY: THE PRODUCT LOT NUMBER WAS NOT PROVIDED; THEREFORE, A BATCH RECORD REVIEW IS NOT POSSIBLE. IT IS THE REQUIREMENT TO REVIEW ALL FINISHED BATCH RECORDS FOR SPECIFICATION CONFORMANCE PRIOR TO RELEASE. ANY OUT OF SPECIFICATION RESULT IS IDENTIFIED AND MITIGATED. DATA IS PERIODICALLY PRESENTED AND REVIEWED BY INDIVIDUALS RESPONSIBLE FOR ASSURING PRODUCT QUALITY. THIS REVIEW HAS NOT INDICATED TRENDS THAT COULD BE ASSOCIATED WITH ANY PRODUCT COMPLAINT. GENZYME WILL CONTINUE TO MONITOR COMPLAINTS.

Description of Event or Problem · 1

JOINT FLUID RETENTION [JOINT EFFUSION]. CASE DESCRIPTION: SPONTANEOUS REPORT RECEIVED ON (B)(6)-2011 FROM A PHYSICIAN REGARDING A (B)(6) FEMALE PATIENT, INITIALS (B)(6), WITH A RELEVANT MEDICAL HISTORY OF OSTEOARTHRITIS, RHEUMATISM AND PSORIASIS. THE PATIENT RECEIVED THE FIRST SYNVISC INJECTION OF 2 ML ON (B)(6)-2011. THE SYNVISC LOT NUMBER WAS UNKNOWN. ON (B)(6)-2011, THE PATIENT DEVELOPED JOINT FLUID RETENTION. ON (B)(6)-2011, THE PATIENT VISITED THE HOSPITAL AND THE KNEE WAS ASPIRATED OF 100CC JOINT FLUID. THE PATIENT DID NOT RECEIVE THE LAST TWO INJECTIONS AND THE PRODUCT WAS PERMANENTLY STOPPED ON (B)(6)-2011. THE CONCOMITANT THERAPY FOR RHEUMATISM INCLUDED METHOTREXATE WHICH WAS STARTED IN (B)(6)-2010 AND FOLIC ACID, CELECOXIB, AZULENE SULFONATE SODIUM, WHICH WERE STARTED ON (B)(6)-2011 AND THE CONCOMITANT THERAPY IS STILL CONTINUING. THE PHYSICIAN ASSESSED THE RELATION OF THE EVENTS AS NON-SERIOUS AND PROBABLY RELATED TO SYNVISC. ON (B)(6)-2011, THE PATIENT OUTCOME WAS REPORTED AS RECOVERING.

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 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 59 YR Required Intervention FOLIC ACID (FOLIC ACID) UNK| CELECOXIB (CELECOXIB) UNK| AZULENE SULFONATE SODIUM UNK| METHOTREXATE (METHOTREXATE SODIUM) UNK