FDA Adverse Event
Injury
Summary report: N
SYNVISC (HYLAN G-F 20) INJECTION
MDR report key: 2030767
·
Received March 21, 2011
Report
- Report Number
- 2246315-2011-00053
- Event Type
- Injury
- Date Received
- March 21, 2011
- Date of Event
- January 1, 2008
- Report Date
- March 10, 2011
- Manufacturer
- GENZYME BIOSURGERY (RIDGEFIELD)
- Product Code
- MOZ
- PMA / PMN Number
- P940015
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
PSEUDOSEPSIS [INFLAMMATION]. CASE DESCRIPTION: SPONTANEOUS REPORT WAS REC'D ON (B)(6) 2011 FROM A HEALTHCARE PROFESSIONAL REGARDING A PT, INITIALS UNK, WHO EXPERIENCED PSEUDOSEPSIS AFTER STARTING SYNVISC. THE PT REC'D TREATMENT WITH SYNVISC "THREE YRS AGO." THE HCP DID NOT REPORT HOW MANY INJECTIONS THE PT REC'D. THE HCP REPORTED THAT THE PT DEVELOPED PSEUDOSEPSIS AFTER "REPEAT TREATMENTS" WITH SYNVISC (DATE NOT PROVIDED). THE PT REQUIRED TREATMENT. THE HCP REPORTED THAT THE PT REQUIRED HOSPITALIZATION. THE PRODUCT LOT NUMBER WAS NOT REPORTED. AT THE TIME OF THIS REPORT THE OUTCOME OF THE PT WAS UNK. MFR'S COMMENT: THE BENEFIT-RISK RELATIONSHIP OF THE PRODUCT IS NOT AFFECTED BY THE REPORT.
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 | UNK | Hospitalization |