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