FDA Adverse Event
Injury
Summary report: N
SPEEDCONTROL DIAL UTILIZED WITH SMARTDRIVE MX2+ POWER ASSIST DEVICE
MDR report key: 22816449
·
Received August 15, 2025
Report
- Report Number
- MW5174628
- Event Type
- Injury
- Date Received
- August 15, 2025
- Date of Event
- July 21, 2024
- Manufacturer
- MAX MOBILITY, LLC
- Product Code
- ITI
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
DESPITE MY PERMOBILE SPEED DIAL BEING IN THE OFF POSITION, MY MOTOR CONTINUED OPERATING AND PROPELLED ME INTO FOUR LANES OF ONCOMING TRAFFIC.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1763018 | SPEEDCONTROL DIAL UTILIZED WITH SMARTDRIVE MX2+ POWER ASSIST DEVICE | WHEELCHAIR, POWERED | ITI | MAX MOBILITY, LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 37 YR | Female | Life Threatening |