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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIO-TECHNOLOGY GENERAL (ISRAEL) LTD EUFLEXXA; 1% SODIUM HYALURONATE

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BIO-TECHNOLOGY GENERAL (ISRAEL) LTD EUFLEXXA; 1% SODIUM HYALURONATE Back to Search Results
Device Problem Patient-Device Incompatibility (2682)
Patient Problems Dyspnea (1816); Loss of Range of Motion (2032); Arthralgia (2355)
Event Date 01/12/2015
Event Type  Injury  
Manufacturer Narrative
Device not returned to manufacturer.
 
Event Description
Difficulty breathing [dyspnoea]; trouble raising arms above shoulders [joint range of motion decreased]; joint pain [arthralgia].This serious regulatory authority, spontaneous report was received from a consumer in united states, via the fda.This report concerns a patient of unknown age and gender who experienced difficulty breathing, trouble raising arms above shoulders, and joint pain during treatment with intra-articular euflexxa (sodium hyaluronate) solution for injection, for an unknown indication on unknown dates.The patient reported that once they received the first of the three euflexxa injections (date of injection unknown) on (b)(6) 2015 they suffered difficulty breathing and extreme joint pain.They reported that five months later they were still having difficulty breathing and was experiencing trouble raising their arms above their shoulders.The patient reported the events were serious due to serious injury resulting in disability/permanent damage.Action taken with euflexxa was unknown.On an unknown date, the outcome of difficulty breathing was not recovered, the outcome of joint pain was unknown, the outcome of trouble raising arms above shoulders was not recovered.Concomitant medication use was not reported.At the time of reporting the case outcome was not recovered/ not resolved.Overall listedness (core label) is unlisted.Reporter causality: related.Company causality: unassessable.Other case numbers: mw5042925.
 
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Brand Name
EUFLEXXA
Type of Device
1% SODIUM HYALURONATE
Manufacturer (Section D)
BIO-TECHNOLOGY GENERAL (ISRAEL) LTD
be'er tuvia industrial zone
kiryat malachi, 83104
IS  83104
Manufacturer (Section G)
BIO-TECHNOLOGY GENERAL (ISRAEL) LTD
be'er tuvia industrial zone
kiryat malachi, 83104
IS   83104
Manufacturer Contact
100 interpace parkway
parsippany, NJ 07054
9737961600
MDR Report Key5531278
MDR Text Key41343139
Report Number3000164186-2016-00005
Device Sequence Number1
Product Code MOZ
Combination Product (y/n)N
PMA/PMN Number
P010029
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Type of Report Initial
Report Date 03/18/2016
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 Health Professional
Was Device Available for Evaluation? No
Distributor Facility Aware Date01/16/2016
Initial Date Manufacturer Received 03/08/2016
Initial Date FDA Received03/29/2016
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other; Disability;
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