FDA Adverse Event Other Summary report: N

SYNVISC ONE (HYLAN G-F 20) INJECTION

MDR report key: 2265204 · Received September 22, 2011

Report

Report Number
2246315-2011-00224
Event Type
Other
Date Received
September 22, 2011
Date of Event
June 29, 2011
Report Date
September 13, 2011
Manufacturer
GENZYME CORPORATION
Product Code
MOZ
PMA / PMN Number
P940015
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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.

Description of Event or Problem · 1

BEDRIDDEN [BEDRIDDEN]. SWOLLEN KNEES [JOINT SWELLING] NOT ABLE TO WALK [ABASIA]. TEST FOR "IMPLAMMATION" FOUR TIMES GREATER THAN NORMAL [INFLAMMATORY MARKER INCREASED] UNABLE TO BEND KNEES [JOINT RANGE OF MOTION DECREASED]. CASE DESCRIPTION: A SPONTANEOUS REPORT WAS RECEIVED ON (B)(4) 2011, FROM AN MRI (MAGNETIC RESONANCE IMAGING) TECHNOLOGIST REGARDING A (B)(6) FEMALE PT WITH ARTHRITIS. THE PT'S MEDICAL HISTORY WAS NOT PROVIDED. ON (B)(6) 2011, THE PT INITIATED SYNVISC-ON, 6 ML BOTH KNEES WITH DEXAMETHASONE ALSO GIVEN VIA INTRA-ARTICULAR ROUTE, UNDER FLUOROSCOPY. (B)(6) DAYS AFTER RECEIVING SYNVISC-ONE THE PT HAD SWOLLEN KNEES, SHE WAS UNABLE TO BEND THEM, NOT ABLE TO WALK, AND WAS BEDRIDDEN FOR A FEW DAYS. THE SWELLING WAS THE SIZE OF A SOFTBALL. SHE HAD AN UNSPECIFIED TEST FOR INFLAMMATION PERFORMED WHICH WAS FOUR TIMES GREATER THAN NORMAL. (B)(6) WEEKS LATER, THE PT HAD A LEFT KNEE MRI. (B)(6) DAYS AFTER THE MRI, THE PT WAS SEEN IN THE EMERGENCY ROOM FOR SWELLING. SHE WAS GIVEN NSAIDS (NONSTEROIDAL ANTI-INFLAMMATORY DRUGS) AND TOLD TO USE CRUTCHES. THE PT WAS TO HAVE HER RIGHT KNEE SCANNED ON THE DAY OF THIS REPORT. THE SWELLING WAS BETTER IN BOTH KNEES. MRI FILMS ARE AVAILABLE. THE ACTION TAKEN WITH SYNVISC-ONE WAS NOT PROVIDED. THE PT'S OUTCOME FOR THE EVENT OF SWELLING WAS NOT YET RECOVERED. THE PT'S OUTCOME FOR THE REMAINING EVENTS WAS NOT PROVIDED. CONCOMITANT MEDICATIONS WERE NOT PROVIDED. THE QA (QUALITY ASSURANCE) INVESTIGATION RESULTS WERE RECEIVED ON (B)(4) 2011. 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.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNVISC ONE (HYLAN G-F 20) INJECTION INTRA-ARTICULAR HYALURONIC ACID MOZ GENZYME CORPORATION UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 41 YR Other| R