FDA Adverse Event
Injury
Summary report: N
GELSYN KNEE INJECTION
MDR report key: 9596341
·
Received January 15, 2020
Report
- Report Number
- MW5092307
- Event Type
- Injury
- Date Received
- January 15, 2020
- Date of Event
- December 14, 2019
- Report Date
- January 15, 2020
- Manufacturer
- IBSA FARMACEUTICI ITALIA SRL
- Product Code
- MOZ
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
CALLER STATED SHE RECEIVED THE INJECTION IN BOTH KNEES 16.8 MG, 2ML, ON (B)(6) 2019. CALLER EXPERIENCED WORSENED PAIN IN BOTH KNEES AND ITCHING IN HER LEFT LEG. THE PAIN HAS CAUSED DIFFICULTY AMBULATING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 57077 | GELSYN KNEE INJECTION | ACID, HYALURONIC, INTRAARTICULAR | MOZ | IBSA FARMACEUTICI ITALIA SRL | |||
| 57078 | GELSYN KNEE INJECTION | ACID, HYALURONIC, INTRAARTICULAR | MOZ | IBSA FARMACEUTICI ITALIA SRL |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 76 YR | Other |