FDA Adverse Event Death Summary report: N

ORTHOVISC INJ 30 MG/2ML

MDR report key: 9877199 · Received March 24, 2020

Report

Report Number
MW5093903
Event Type
Death
Date Received
March 24, 2020
Date of Event
March 23, 2020
Report Date
March 23, 2020
Manufacturer
ANIKA THERAPEUTICS, INC.
Product Code
MOZ
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE PHARMACY WAS NOTIFIED BY THE PT'S DAUGHTER THAT THE PT DECEASED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
334428 ORTHOVISC INJ 30 MG/2ML ACID, HYALURONIC, INTRAARTICULAR MOZ ANIKA THERAPEUTICS, INC.

Patients

Seq Age Sex Outcome Treatment
1 63 YR Death