Brand Name | ORTHOVISC PFS 30 MG/2ML |
Type of Device | ACID, HYALURONIC, INTRAARTICULAR |
Manufacturer (Section D) |
|
MDR Report Key | 18940413 |
MDR Text Key | 338128315 |
Report Number | MW5152985 |
Device Sequence Number | 1 |
Product Code |
MOZ
|
Combination Product (y/n) | Y |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Patient Family Member or Friend
|
Type of Report
| Initial |
Report Date |
03/15/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 03/19/2024 |
Patient Sequence Number | 1 |
Patient Outcome(s) |
Death;
|
Patient Age | 87 YR |
Patient Sex | Male |
|
|