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 |