FDA Adverse Event Injury Summary report: N

EUFLEXXA

MDR report key: 6121181 · Received November 22, 2016

Report

Report Number
3000164186-2016-00023
Event Type
Injury
Date Received
November 22, 2016
Date of Event
November 1, 2016
Report Date
November 11, 2016
Manufacturer
BIO-TECHNOLOGY GENERAL (ISRAEL) LTD
Product Code
MOZ
PMA / PMN Number
P010029
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DEVICE NOT RETURNED TO MANUFACTURER.

Description of Event or Problem · 1

PLATELET COUNT WAS DANGEROUSLY LOW (THROMBOCYTOPENIA). [THROMBOCYTOPENIA]. THIS SERIOUS SPONTANEOUS REPORT WAS RECEIVED FROM A CONSUMER IN UNITED STATES. THIS REPORT CONCERNS A (B)(6) YEAR OLD FEMALE WHO EXPERIENCED PLATELET COUNT WAS DANGEROUSLY LOW (THROMBOCYTOPENIA). DURING TREATMENT WITH INTRA-ARTICULAR EUFLEXXA (SODIUM HYALURONATE) SOLUTION FOR INJECTION 1 %, WEEKLY, FOR OSTEOARTHRITIS FROM (B)(6) 2016. ON (B)(6) 2016, THE PATIENT EXPERIENCED PLATELET COUNT WAS DANGEROUSLY LOW (THROMBOCYTOPENIA). THE PLATELET COUNT WAS DANGEROUSLY LOW (THROMBOCYTOPENIA) WAS MEDICALLY SIGNIFICANT. THE PATIENT REPORTED SEEING A HEMATOLOGIST ON (B)(6) 2016 AND WILL CONTINUE TO FOLLOW UP. ACTION TAKEN WITH EUFLEXXA WAS DOSE NOT CHANGED. ON AN UNKNOWN DATE, THE OUTCOME OF PLATELET COUNT WAS DANGEROUSLY LOW (THROMBOCYTOPENIA). WAS NOT RECOVERED. THE FOLLOWING CONCOMITANT MEDICATION WAS REPORTED: ATORVASTATIN (FROM AN UNKNOWN START DATE TO AN UNKNOWN STOP DATE). THE FOLLOWING LABORATORY VALUES WERE RELEVANT: BLOOD TEST: 28 MCL (NO ASSESSMENT), (B)(6) 2016. AT THE TIME OF REPORTING, THE CASE OUTCOME WAS NOT RECOVERED. ADDITIONAL INFORMATION WAS RECEIVED FROM THE PATIENT ON 16-NOV-2016. THE PATIENT CLARIFIED THE DATES OF HER EUFLEXXA INJECTIONS AND PROVIDED THE VALUE FOR THE REPORTED LOW PLATELET COUNT. OVERALL LISTEDNESS (CORE LABEL) IS UNLISTED. REPORTER CAUSALITY: RELATED. COMPANY CAUSALITY: UNASSESSABLE. OTHER CASE NUMBERS: CASE NUMBER, OTHERS = (B)(4). THIS AE OCCURRED IN THE US AND CONCERNS THE MEDICAL DEVICE EUFLEXXA. PLEASE REPORT TO YOUR LOCAL HEALTH AUTHORITY IF REQUIRED BY LOCAL LAW. THIS AE IS NOT REPORTABLE IN EU BECAUSE IT DOES NOT MEET THE DEFINITION OF A MEDICAL DEVICE INCIDENT ACCORDING TO THE REQUIREMENTS OF THE MEDICAL DEVICE DIRECTIVE, BECAUSE IT DID NOT OCCUR IN A EU + EFTA COUNTRY AND DID NOT RESULT IN A CORRECTIVE ACTION BY THE MANUFACTURER. NO CORRECTIVE ACTION WAS DONE BY THE MANUFACTURER OR REQUESTED BY REGULATORS. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
770550 EUFLEXXA 1% SODIUM HYALURONATE MOZ BIO-TECHNOLOGY GENERAL (ISRAEL) LTD

Patients

Seq Age Sex Outcome Treatment
1 61 YR Other ATORVASTATIN (ATORVASTATIN)