FDA Adverse Event Injury Summary report: N

ARTZ

MDR report key: 2492219 · Received March 12, 2012

Report

Report Number
9612392-2012-00002
Event Type
Injury
Date Received
March 12, 2012
Date of Event
February 9, 2012
Report Date
February 15, 2012
Manufacturer
SEIKAGAKU CORP
Product Code
MOZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHARMACIST

Narratives

Additional Manufacturer Narrative · 1

THIS CASE WAS REPORTED TO THE (B)(4) PHARMACOVIGILANCE NETWORK ON (B)(4) 2012. THIS IS A DEFINITIVE REPORT.

Description of Event or Problem · 1

ADVERSE EVENT: EFFUSION OF LOWER LEG JOINT. ON (B)(6) 2012, A (B)(6) FEMALE PT RECEIVED 1ST INJECTION OF ARTZ TO THE KNEE FOR GONALGIA. ON (B)(6) 2012, SHE RECEIVED 2ND INJECTION OF ARTZ. ON (B)(6) 2012, SHE RECEIVED 3RD INJECTION OF ARTZ. ON (B)(6) 2012, SHE DEVELOPED EFFUSION IN THE INJECTION SITE DURING INFILTRATION WITH HYALURONIC ACID. SHE WAS ADMINISTERED WITH VOLTAREN (DICLOFENAC), 1 AMPOULE, IM, AND PERFALGAN (PARACETAMOL),1 AMPOULE IV AS SPECIFIC TREATMENT REGARDING THE EVENT. ON (B)(6) 2012, SHE WAS RECOVERING. ACCORDING TO THE REPORTER, THE EVENT CAUSED/PROLONGED HOSPITALIZATION. THE CAUSAL RELATIONSHIP BETWEEN ARTZ AND THE ADVERSE EVENT WAS POSSIBLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARTZ SODIUM HYALURONATE MOZ SEIKAGAKU CORP NA

Patients

Seq Age Sex Outcome Treatment
1 72 YR Hospitalization TORVAST (ATORVASTATIN) - UNK| LOSARTAN (LOSARTAN) - UNK| ATENOLOL (ATENOLOL) - UNK| CARDIOASPIRIN (ACETYLSALICYCLIC ACID) - UNK