FDA Adverse Event Injury Summary report: N

SMART DRIVE

MDR report key: 22161835 · Received June 6, 2025

Report

Report Number
MW5171170
Event Type
Injury
Date Received
June 6, 2025
Date of Event
August 5, 2024
Report Date
May 30, 2025
Manufacturer
PERMOBIL / PERMOBIL, INC.
Product Code
ITI
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
TN, US
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

MY SMARTDRIVE TURNED ON BY ITSELF AND RAN ME INTO A METAL BAR. I STILL HAVE A BRUISE, 9 MONTHS LATER. IT MAY BE PERMANENT DISCOLORATION. THANKFULLY I DID NOT GO INTO THE LAKE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1654901 SMART DRIVE WHEELCHAIR, POWERED ITI PERMOBIL / PERMOBIL, INC.

Patients

Seq Age Sex Outcome Treatment
1 50 YR Female Other