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