FDA Adverse Event Injury Summary report: N

SYNVISC

MDR report key: 3913016 · Received June 11, 2014

Report

Report Number
2246315-2014-73335
Event Type
Injury
Date Received
June 11, 2014
Date of Event
January 1, 2014
Report Date
June 2, 2014
Manufacturer
GENZYME BIOSURGERY (RIDGEFIELD)
Product Code
MOZ
PMA / PMN Number
P940015
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CORRECTIVE TREATMENT: CORTISONE. OUTCOME: UNK. A PHARMACEUTICAL TECHNICAL COMPLAINT (PTC) WAS INITIATED AND RESULTS WERE PENDING FOR THE SAME. SERIOUSNESS CRITERIA: INTERVENTION REQUIRED. NO FURTHER INFORMATION WAS PROVIDED.

Description of Event or Problem · 1

THIS UNSOLICITED DEVICE CASE FROM UNITED STATES WAS RECEIVED ON (B)(4) 2014 FROM A CONSUMER. THIS CASE CONCERNS A PATIENT (NO DEMOGRAPHICS PROVIDED) WHOSE KNEES SWELLED TO TWICE THEIR NORMAL SIZE AND HAD A LOT OF WATER ON BOTH KNEES AFTER RECEIVING TREATMENT WITH SYNVISC. RELEVANT PAST DRUG INCLUDED SYNVISC (HAD INJECTIONS ABOUT 4-5 TIMES OVER THE PAST 5 YEARS, WITH MIXED SUCCESS). NO RELEVANT PAST MEDICAL HISTORY, CONCURRENT CONDITIONS AND CONCOMITANT MEDICATIONS WERE REPORTED. ON AN UNKNOWN DATE IN (B)(6) 2014, THE PATIENT'S INITIATED TREATMENT WITH SYNVISC INJECTION (ROUTE OF ADMINISTRATION, DOSAGE REGIMEN, FREQUENCY, LOT/BATCH NUMBER AND EXPIRATION DATE UNKNOWN) FOR UNKNOWN INDICATION. ON AN UNKNOWN DATE,A FEW DAYS LATER, PATIENT'S KNEES SWELLED TO TWICE THEIR NORMAL SIZE AND THERE WAS A LOT OF WATER ON BOTH THE KNEES. THE PATIENT WENT BACK TO HER PHYSICIAN AND HE GAVE HIM AN INJECTION OF CORTISONE WHICH EVENTUALLY BROUGHT DOWN THE SWELLING. THE PATIENT'S KNEE WAS NOT DRAIN AS THE PHYSICIAN DID NOT WANT TO DRAIN OUT THE SYNVISC. ACTION TAKEN: UNK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
344046 SYNVISC INTRA-ARTICULAR HYALURONIC ACID MOZ GENZYME BIOSURGERY (RIDGEFIELD) UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention SYNVISC(PREV.)| CON MEDS= UNK