FDA Adverse Event Injury Summary report: N

GELSYN-3

MDR report key: 9321996 · Received November 13, 2019

Report

Report Number
MW5091078
Event Type
Injury
Date Received
November 13, 2019
Date of Event
November 9, 2019
Report Date
November 9, 2019
Manufacturer
IBSA INSTITUT BIOCHIMIQUE SA
Product Code
MOZ
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

GELSYN IS BEING USED OFF LABEL FOR AREA OF INJECTION INTO THE SHOULDERS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1113629 GELSYN-3 ACID, HYALURONIC, INTRAARTICULAR MOZ IBSA INSTITUT BIOCHIMIQUE SA

Patients

Seq Age Sex Outcome Treatment
1 70 YR