FDA Adverse Event
Other
Summary report: N
SMARTDRIVE MX2
MDR report key: 22177039
·
Received June 10, 2025
Report
- Report Number
- MW5171216
- Event Type
- Other
- Date Received
- June 10, 2025
- Date of Event
- April 5, 2025
- Report Date
- June 2, 2025
- Manufacturer
- MAX MOBILITY, LLC.
- Product Code
- ITI
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OR, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
THE SMART DRIVE MX2 WOULD NOT RESPOND TO THE SHUT OFF COMMAND AND I CRASHED MY WHEELCHAIR. THE SMART DRIVE UNIT WAS DAMAGED, MY WHEELCHAIR WAS DAMAGED, AND I RECEIVED MANY BRUISES, CUTS AND SCRAPES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 91048 | SMARTDRIVE MX2 | WHEELCHAIR, POWERED | ITI | MAX MOBILITY, LLC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 49 YR | Female | Other |