FDA Adverse Event Other Summary report: N

SYNVISC (HYLAN G-F 20) INJECTION

MDR report key: 2860510 · Received December 5, 2012

Report

Report Number
2246315-2012-00372
Event Type
Other
Date Received
December 5, 2012
Date of Event
November 2, 2011
Report Date
November 21, 2012
Manufacturer
GENZYME BIOSURGERY (RIDGEFIELD)
Product Code
MOZ
PMA / PMN Number
PMA P940015
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

MANUFACTURER'S COMMENT: THE BENEFIT-RISK RELATIONSHIP OF THE PRODUCT IS NOT AFFECTED BY THIS REPORT.

Description of Event or Problem · 1

SWELLING OF LEFT KNEE [JOINT SWELLING]. CASE DESCRIPTION: SPONTANEOUS REPORT WAS RECEIVED ON (B)(6) 2012 FROM A PHYSICIAN REGARDING A (B)(6) WITH GONARTHROSIS. THE PATIENT'S MEDICAL HISTORY WAS SIGNIFICANT FOR OSTEOPOROSIS (COMPLICATION DISEASE) AND PREVIOUS USE OF SYNVISC FROM (B)(6) 2011 (FIRST COURSE, SECOND INJECTION ON (B)(6) 2011). ON (B)(6) 2011, THE PATIENT INITIATED TREATMENT WITH SYNVISC INJECTION (HYLAN GF-20), (ROUTE AND DOSE NOT PROVIDED, SECOND COURSE) AT A FREQUENCY OF ONCE PER WEEK, IN AN UNSPECIFIED LOCATION. THE LOT NUMBER OF SYNVISC WAS NOT PROVIDED. ON (B)(6) 2011, THE PATIENT VISITED OUT-PATIENT OF A CLINIC FOR SWELLING OF LEFT KNEE (FIRST EPISODE). ON THE SAME DAY, SHE RECEIVED TREATMENT WITH TRIAMCINOLONE AND LIDOCAINE HYDROCHLORIDE AS TREATMENT. ON (B)(6) 2011, THE SWELLING OF LEFT RESOLVED AND THE PATIENT RECEIVED THE SECOND INJECTION OF SYNVISC. ON 1(B)(6) 2011, THE PATIENT RECEIVED THE THIRD INJECTION OF SYNVISC. ON (B)(6) 2011, THE PATIENT VISITED THE OUT-PATIENT OF THE CLINIC FOR SWELLING OF LEFT KNEE AGAIN (SECOND EPISODE). ON THE SAME DAY, SHE RECEIVED TREATMENT WITH TRIAMCINOLONE AND LIDOCAINE HYDROCHLORIDE AS TREATMENT AGAIN. SYNVISC DOSE WAS UNCHANGED. ON (B)(6) 2011, AT THE OUT-PATIENT CLINIC, IT WAS CONFIRMED THAT THE SWELLING HAD DISAPPEARED (SECOND EPISODE). RELEVANT CONCOMITANT MEDICATIONS REPORTED INCLUDE ALENDRONATE SODIUM HYDRATE. THE INTENSITY FOR BOTH THE EVENTS WAS NOT PROVIDED. THE REPORTING PHYSICIAN ASSESSED THE RELATIONSHIP BETWEEN SYNVISC AND BOTH THE EVENTS AS PROBABLE.

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 71 YR Required Intervention