MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-24 for ORTHOVISC INJ 30 MG/2ML manufactured by Anika Therapeutics, Inc..
[184998828]
The pharmacy was notified by the pt's daughter that the pt deceased.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5093903 |
| MDR Report Key | 9877199 |
| Date Received | 2020-03-24 |
| Date of Report | 2020-03-23 |
| Date of Event | 2020-03-23 |
| Date Added to Maude | 2020-03-25 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ORTHOVISC INJ 30 MG/2ML |
| Generic Name | ACID, HYALURONIC, INTRAARTICULAR |
| Product Code | MOZ |
| Date Received | 2020-03-24 |
| Device Availability | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ANIKA THERAPEUTICS, INC. |
| Brand Name | 30MG/2ML |
| Product Code | --- |
| Date Received | 2020-03-24 |
| Device Sequence No | 101 |
| Device Event Key | 0 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Death | 2020-03-24 |