FDA Adverse Event
Injury
Summary report: N
CORETECH ROM KNEE IMOBILIZER
MDR report key: 23553689
·
Received November 14, 2025
Report
- Report Number
- 23553689
- Event Type
- Injury
- Date Received
- November 14, 2025
- Date of Event
- October 6, 2025
- Report Date
- October 20, 2025
- Manufacturer
- VIVE HEALTH LLC
- Product Code
- ITQ
- UDI-DI
- 00810041986108
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- FL
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
PATIENT STANDING IN PARALLEL BARS IN R [RIGHT] HINGED KNEE IMMOBILIZER (WBAT) AND NWB [NON WEIGHT BEARING] ON L LE [LEFT LOWER EXTREMITY] IN IMMOBILIZER (NON-HINGED), PERFORMING 3RD REP OF L HIP FLEXION WITH WHEELCHAIR BEHIND PATIENT, WHILE STANDING ON R LE [RIGHT LOWER EXTREMITY] AND R KNEE BUCKLED WHILE BRACE WAS STILL LOCKED IN EXTENSION. PATIENT SUPPORTED SELF ON PARALLEL BARS AND THERAPIST ASSISTED TO PREVENT FALL WHILE 2ND THERAPIST ASSISTED IN MOVING WHEELCHAIR UNDER PATIENT'S BUTTOCKS. UPON INSPECTION OF THE BRACE, BRACE STILL LOCKED IN EXTENSION, BUT SUPPORT BARS WERE TWISTED. ALERTED MD AND RN. RN PRESENT TO ASSESS PATIENT. PAIN REPORTS AT R KNEE OF 2/10. STAT IMAGING ORDERED BY MD.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1902780 | CORETECH ROM KNEE IMOBILIZER | JOINT, KNEE, EXTERNAL BRACE | ITQ | VIVE HEALTH LLC | SUP2071BLK | 00810041986108 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR | Male | Required Intervention| H |