FDA Adverse Event Injury Summary report: N

HOVEROUND

MDR report key: 22883867 · Received August 25, 2025

Report

Report Number
1056601-2025-00005
Event Type
Injury
Date Received
August 25, 2025
Date of Event
April 17, 2025
Report Date
May 19, 2025
Manufacturer
HOVEROUND
Product Code
ITI
UDI-DI
00859781000019
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE CLIENT STATES THE SORES BECAME INFECTED AND CLIENT NEEDED TO BE HOSPITALIZED FOR WOUND CARE AND THEN FOLLOW UP WITH REHAB. DUE TO SERIOUSNESS OF THE INJURY HOVEROUND FELT IT WAS BEST TO REPORT.

Description of Event or Problem · 0

CLIENT STATES WHEN SHE GETS IN OR OUT OF PWC, THE FOOTPLATE FALLS DOWN AND HITS THE FRONT OF HER LEGS BELOW THE KNEE, ON THE SHINS. CLIENT STATES SHE HAS LARGE SORES AND THIS HAS MADE HER WEAK TO THE POINT SHE IS UNABLE TO TRANSFER, AMBULANCE WAS CALLED AND SHE WAS TAKE TO HOSPITAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2390947 HOVEROUND MOTORIZED WHEELCHAIR ITI HOVEROUND MPV5 00859781000019

Patients

Seq Age Sex Outcome Treatment
1 86 YR Female Hospitalization