BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HOVEROUND

    MDR report key: 22883897 · Received August 25, 2025

    Report

    Report Number
    1056601-2025-00008
    Event Type
    Injury
    Date Received
    August 25, 2025
    Date of Event
    June 30, 2025
    Report Date
    August 12, 2025
    Manufacturer
    HOVEROUND CORPORATION
    Product Code
    ITI
    UDI-DI
    00859781000019
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    THE CLIENT WAS ADMITTED TO THE HOSPITAL FOR 3 DAYS POST INCIDENT SO HOVEROUND FELT IT WAS BEST TO REPORT.

    Description of Event or Problem · 0

    CLIENT STATES AS HE WAS RIDING DOWN THE SIDE WALK ON N KNOXVILLE AVE, A PICK UP TRUCK WITH TRAILER TURNED CORNER AND THE TRAILER HIT CLIENT. CLIENT STATES HE FELL OVER IN THE PWC, POLICE AND AMBULANCE WAS CALLED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2335765 HOVEROUND MOTORIZED WHEELCHAIR ITI HOVEROUND CORPORATION MPV5 00859781000019

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Male Hospitalization