FDA Adverse Event
Injury
Summary report: N
VIVE HEALTH LLC
MDR report key: 21241169
·
Received January 27, 2025
Report
- Report Number
- 3011191255-2025-10002
- Event Type
- Injury
- Date Received
- January 27, 2025
- Date of Event
- October 19, 2024
- Report Date
- January 23, 2025
- Manufacturer
- VIVE HEALTH
- Product Code
- ITJ
- UDI-DI
- 00818323029581
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
SHE RECEIVED THE PRODUCT, THEY ASSEMBLED AND WHEN SHE FIRST TRIED TO USE IT, IT TIPPED OVER AND SHE FELL WITH IT, LUCKILY SHE FELL ON HER DOG'S BED AND HAS A MINOR BRUISE SHE'S OKAY BUT IT IS EXTREMELY UNSAFE FOR HER TO USE IT. SOMEONE ELSE TREID TO USE IT AS WELL AND IT KEPT HAPPENING, THEY LOOKED AT THE PRODUCT AND IT SEEMS LIKE THE BOTTOM IS NARROWER THAN THE TOP MAKING IT UNSTABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 830438 | VIVE HEALTH LLC | UPRIGHT WALKER MOB1033 | ITJ | VIVE HEALTH | MOB1033 | 00818323029581 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 93 YR | Female | Required Intervention |