Brand Name | GEL ONE 30/3 MG/ML - MILLLIGRAMS PER MILLILITRES |
Type of Device | ACID, HYALURONIC, INTRAARTICULAR |
Manufacturer (Section D) |
SEIKAGAKU CORPORATION, TAKAHAGI PLANT |
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|
MDR Report Key | 10627891 |
MDR Text Key | 209978389 |
Report Number | MW5097048 |
Device Sequence Number | 1 |
Product Code |
MOZ
|
UDI-Device Identifier | 87541030091 |
UDI-Public | 87541-0300-91 |
Combination Product (y/n) | Y |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
09/30/2020 |
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
|
Device Operator |
No Information
|
Device Expiration Date | 08/02/2022 |
Device Lot Number | 0020D24G |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 10/02/2020 |
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
Patient Age | 93 YR |
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