BEUDAMED
    FDA Adverse Event Death Summary report: N

    ORTHOVISC 30 MG PER 2ML

    MDR report key: 5080671 · Received September 14, 2015

    Report

    Report Number
    MW5056171
    Event Type
    Death
    Date Received
    September 14, 2015
    Date of Event
    July 16, 2015
    Report Date
    September 11, 2015
    Manufacturer
    DEPUY MITEK
    Product Code
    MOZ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    DEATH. CAUSE NOT GIVEN. DOSE OR AMOUNT: 60MG; FREQUENCY: QWK X 3WKS; ROUTE: INTRA-ARTICULARLY BOTH KNEE. DATES OF USE: (B)(6) 2014. DIAGNOSIS OR REASON FOR USE: OSTEOARTHRITIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    606131 ORTHOVISC 30 MG PER 2ML ORTHOVISC 30 MG PER 2ML MOZ DEPUY MITEK

    Patients

    Seq Age Sex Outcome Treatment
    1 93 YR Death