FDA Adverse Event Summary report: N

SYNVISC (HYLAN G-F 20) INJECTION

MDR report key: 2112474 · Received March 10, 2011

Report

Report Number
2246315-2011-00042
Date Received
March 10, 2011
Date of Event
September 10, 2009
Report Date
February 23, 2011
Manufacturer
GENZYME BIOSURGERY (RIDGEFIELD)
Product Code
MOZ
PMA / PMN Number
P940015
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE QA (QUALITY ASSURANCE) INVESTIGATION RESULTS WERE REC'D ON (B)(4) 2011. EVAL 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. MFR'S COMMENT: THE BENEFIT-RISK RELATIONSHIP OF THE PRODUCT IS NOT AFFECTED BY THE REPORT.

Description of Event or Problem · 1

WORSENING PAIN [ARTHRALGIA]. SEROSANGUINOUS REACTION [NONSPECIFIC REACTION]. WEIGHT LOSS [WEIGHT DECREASED]. EFFUSION COLLECTED BEFORE THIRD INJECTION [JOINT EFFUSION]. CASE DESCRIPTION: SPONTANEOUS REPORT REC'D ON (B)(6) 2011 FROM A (B)(6) FEMALE PT, INITIALS (B)(6), WITH A MEDICAL HISTORY OF OSTEOARTHRITIS, PREVIOUS TREATMENT WITH SYNVISC OVER SEVERAL YEARS, AND LAP BAND SURGERY ONE YEAR AGO. THE PT WAS ADMINISTERED THE SYNVISC SERIES SIX TO SEVEN MONTHS AGO IN BOTH KNEES. THE PT EXPERIENCED WORSENING PAIN. SHE ALSO STATED THAT SHE EXPERIENCED WEIGHT LOSS DUE TO THE LAP BAND SURGERY. ADD'L TREATMENT INCLUDED SUPARTZ (SODIUM HYALURONATE). AT THE TIME OF THIS REPORT, THE OUTCOME OF THE REPORTED EVENTS AND TREATMENT WERE UNK. THE SYNVISC LOT NUMBER WAS NOT AVAILABLE. NO FURTHER INFO WAS PROVIDED. ADD'L INFO WAS REC'D ON (B)(6) 2011 FROM THE PHYSICIAN. THE PT HAD A HISTORY OF MILD OSTEOARTHRITIS IN HER RIGHT KNEE FOR A DURATION OF TWO YEARS, JOINT NARROWING, PREVIOUS USE OF SYNVISC, NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS), AND STEROIDS. THE PT DID NOT HAVE A HISTORY OF PRIOR EFFUSION OR OSTEOPHYTES. THE PHYSICIAN STATED THAT THE SYNVISC INJECTIONS WERE ADMINISTERED ON (B)(6) 2009. EFFUSION WAS COLLECTED BEFORE THE THIRD SYNVISC INJECTION. THE ONSET DATE OF WORSENING KNEE PAIN WAS (B)(6) 2009. TREATMENTS INCLUDED STEROID INJECTION AND NSAIDS. THE PT RECOVERED AFTER APPROX THREE WEEKS. THE RELATION OF THE EVENT OF WORSENING KNEE PAIN TO THE SYNVISC INJECTION WAS PROBABLE AND THE INTENSITY OF SYMPTOMS WAS MODERATE. THE PHYSICIAN ALSO ADDED THAT THE PT HAD A "SEROSANGUINEOUS REACTION." THE OUTCOME OF THE EVENTS OF KNEE EFFUSION AND SEROSANGUINEOUS REACTION WAS UNK. NO ADD'L LABS WERE PERFORMED AND EXUDATE WAS NOT COLLECTED AFTER THE LAST SYNVISC TREATMENT. NO FURTHER INFO WAS PROVIDED.

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 UNK

Patients

Seq Age Sex Outcome Treatment
1 40 YR Other