BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HOVEROUND

    MDR report key: 22883237 · Received August 25, 2025

    Report

    Report Number
    1056601-2025-00003
    Event Type
    Injury
    Date Received
    August 25, 2025
    Date of Event
    March 3, 2025
    Report Date
    April 8, 2025
    Manufacturer
    HOVEROUND CORPORATION
    Product Code
    ITI
    UDI-DI
    00859781000019
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    THE CLIENT STATES SHE HAS A BROKEN ANKLE AND A COUPLE OF BROKEN FINGERS. THE CLIENT WAS NOT ADMITTED TO THE HOSPITAL BUT DUE TO THE FRACTURED ANKLE AND THE CLIENT BEING AN AMPUTEE, HOVEROUND FEELS THIS SHOULD BE REPORTED.

    Description of Event or Problem · 0

    CLIENT STATES SHE WAS IN HER BEDROOM AND THE PWC LUNGED FORWARD CAUSING HER TO RUN INTO THE WALL. CLIENT STATES AS SHE WAS IN THE KITCHEN TRYING TO GO TO THE DOOR TO GET A PACKAGE, CLIENT STATES PWC VEERED IN TO THE WALL WHERE HER RIGHT TOES WENT UNDER FOOTPLATE AND WAS CAUGHT BETWEEN THE PWC AND FOOTPLATE. CLIENT STATES HER BROTHER CAME TO HELP HER AND MOVED HER BACK FROM THE WALL, HE UNLATCHED SEAT BELT TO HELP HER UP. CLIENT STATES AS SHE WENT TO PIVOT (CLIENT'S LEFT LEG HAS BEEN AMPUTATED) SHE FELL TO THE GROUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2335379 HOVEROUND MOTORIZED WHEELCHAIR ITI HOVEROUND CORPORATION MPV5 00859781000019

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Male Other| R