BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HOVEROUND

    MDR report key: 22883401 · Received August 25, 2025

    Report

    Report Number
    1056601-2025-00004
    Event Type
    Injury
    Date Received
    August 25, 2025
    Date of Event
    July 1, 2024
    Report Date
    April 29, 2025
    Manufacturer
    HOVEROUND CORPORATION
    Product Code
    ITI
    UDI-DI
    00859781000019
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    THE CLIENT STATES HE HIT HIS HEAD WHEN HE FELL FROM THE POWER WHEELCHAIR WHICH RESULTED IN A BRAIN BLEED AND A STROKE. THE CLIENT STATES HE WAS HOSPITALIZED FOR THIS INCIDENT FOR OVER A WEEK. DUE TO THE CLIENT'S REPORTED INJURIES, HOVEROUND IS REPORTING THIS INCIDENT.

    Description of Event or Problem · 0

    CLIENT STATES A FEW GUYS ON 4-WHEELER'S WERE RIDING ON THE WALK PATH AND HE WENT OFF OF IT TO GET OUT OF THE WAY AND PWC FELL OVER. CLIENT STATES THE PWC ROLLED OVER A COUPLE OF TIMES, SLIDING OFF OF THE LEVY. CLIENT STATES HE FELL OUT OF PWC JUST BEFORE IT STOPPED FROM SLIDING OVER THE LEVY. CLIENT STATES HE WAS ABLE TO GET HIS CELL PHONE OUT AND CALL 911.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2292165 HOVEROUND MOTORIZED WHEELCHAIR ITI HOVEROUND CORPORATION MPV5 00859781000019

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Male Life Threatening| H