MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2020-03-04 for HYALURONIC ACID 89122-0724-20 manufactured by Fidia Farmaceutici S.p.a..
| Report Number | 9610200-2020-00001 |
| MDR Report Key | 9784628 |
| Report Source | OTHER |
| Date Received | 2020-03-04 |
| Date of Report | 2020-03-04 |
| Date of Event | 2020-01-21 |
| Date Mfgr Received | 2020-02-07 |
| Date Added to Maude | 2020-03-04 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. GIUSEPPE DI SANTE |
| Manufacturer Street | VIA PONTE DELLA FABBRICA, 3/A |
| Manufacturer City | ABANO TERME, PADUA 35031 |
| Manufacturer Country | IT |
| Manufacturer Postal | 35031 |
| Manufacturer G1 | FIDIA FARMACEUTICI S.P.A. |
| Manufacturer Street | VIA PONTE DELLA FABBRICA, 3/A |
| Manufacturer City | ABANO TERME, PADUA 35031 |
| Manufacturer Country | IT |
| Manufacturer Postal Code | 35031 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | HYALURONIC ACID |
| Generic Name | SODIUM HYALURONATE |
| Product Code | MOZ |
| Date Received | 2020-03-04 |
| Catalog Number | 89122-0724-20 |
| Lot Number | UNK |
| Device Availability | N |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | FIDIA FARMACEUTICI S.P.A. |
| Manufacturer Address | VIA PONTE DELLA FABBRICA, 3A ABANO TERME, PADUA 35031 IT 35031 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization | 2020-03-04 |