FDA Adverse Event Injury Summary report: N

VIVE FOREARM CRUTCHES

MDR report key: 8949605 · Received August 29, 2019

Report

Report Number
MW5089457
Event Type
Injury
Date Received
August 29, 2019
Report Date
August 27, 2019
Manufacturer
CAREMAX REHABILITATION EQUIPMENT CO., LTD.
Product Code
IPR
UDI-DI
00818323027198
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
501

Narratives

Description of Event or Problem · 1

CONSUMER LEFT A COMMENT STATING, "I GOT THESE YESTERDAY. WENT OUT TODAY AND THE ONE CRUTCHES COLLAPSED ON ME, MAKING ME FALL TO THE GROUND AND INJURING MYSELF. THE REASON I GOT THESE IS BECAUSE MY OLD ONES DID THE SAME THING. THESE WILL BE GOING BACK." FDA SAFETY REPORT ID# (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
741849 VIVE FOREARM CRUTCHES CRUTCH IPR CAREMAX REHABILITATION EQUIPMENT CO., LTD. MOB1014BLK 00818323027198

Patients

Seq Age Sex Outcome Treatment
1