FDA Adverse Event Injury Summary report: N

EUFLEXXA

MDR report key: 2833650 · Received November 5, 2012

Report

Report Number
3000164186-2012-00191
Event Type
Injury
Date Received
November 5, 2012
Date of Event
October 8, 2012
Report Date
October 24, 2012
Manufacturer
BIO-TECHNOLOGY GENERAL (ISRAEL) LTD.
Product Code
MOZ
PMA / PMN Number
P010029
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

LITTLE INFO REPORTED FOR THIS (B)(6) FEMALE WHO WAS HOSPITALIZED FOR HYPERTENSION (230/130) UNK TIME AFTER RECEIVING EUFLEXXA. THE REPORTING PHYSICIAN STATED A DEFINITE CAUSALITY. INSUFFICIENT INFO TO MAKE A PROPER CAUSALITY ASSESSMENT, HOWEVER, HYPERTENSION IS AN EXPECTED EVENT ACCORDING TO THE LABELING.

Description of Event or Problem · 1

DESCRIPTION OF EVENT OR PROBLEM: THIS SERIOUS SPONTANEOUS REPORT WAS RECEIVED FROM A PHYSICIAN IN THE UNITED STATES. A (B)(6) FEMALE PT EXPERIENCED HYPERTENSION (230/130) AFTER ADMINISTRATION WITH EUFLEXXA (1% SODIUM HYALURONATE) FOR UNK INDICATION. ON AN UNK DATE, THE PT RECEIVED HER FIRST EUFLEXXA INJECTION FOR AN UNK INDICATION. ON (B)(6) 2012, THE PT EXPERIENCED VOMITING AND HYPERTENSION (230/130) AND WAS HOSPITALIZED. THE PT WAS TREATED FOR HYPERTENSION (TREATMENT MEDICATION UNSPECIFIED) AND THE PT WAS STABILIZED HOWEVER HAD NOT RECOVERED. AT THE TIME OF REPORT, IT WAS UNK IF PT HAD RECOVERED FROM VOMITING. THE PHYSICIAN STATED THE HYPERTENSION WAS DEFINITELY RELATED TO EUFLEXXA. THE PHYSICIAN ALSO STATED HE HAD NEVER SEEN THIS BEFORE AS HE HAS USED EUFLEXXA IN THE PAST AND LOVES THIS PRODUCT. MEDICAL HISTORY WAS PROVIDED WHICH INCLUDED ALLERGIC TO STATIN MEDICATIONS AND YELLOW DYE. CONCOMITANT MEDICATIONS WERE NOT PROVIDED. F/U INFO WAS REQUESTED. IF NEW SIGNIFICANT INFO IS RECEIVED A RE-EVAL OF THE CASE WILL BE PERFORMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EUFLEXXA 1% SODIUM HYALURONATE MOZ BIO-TECHNOLOGY GENERAL (ISRAEL) LTD.

Patients

Seq Age Sex Outcome Treatment
1 71 YR Hospitalization