FDA Adverse Event
Injury
Summary report: N
VIVE HEALTH LLC
MDR report key: 21241187
·
Received January 27, 2025
Report
- Report Number
- 3011191255-2025-10004
- Event Type
- Injury
- Date Received
- January 27, 2025
- Date of Event
- October 24, 2024
- Report Date
- January 23, 2025
- Manufacturer
- VIVE HEALTH
- Product Code
- ITJ
- UDI-DI
- 00818323024937
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
THE CUSTOMER RECENTLY HAD FOOT SURGERY, AND WHILE USING THE ITEM, SHE FELL AND HIT THE FOOT THAT UNDERWENT SURGERY. SHE REPORTS THAT THIS HAPPENED BECAUSE THE ITEM IS TOO UNSTABLE AND DANGEROUS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 831437 | VIVE HEALTH LLC | KNEE WALKER | ITJ | VIVE HEALTH | MOB1007 | 00818323024937 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Required Intervention |