BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HOVEROUND CORPORATION

    MDR report key: 3041994 · Received April 2, 2013

    Report

    Report Number
    1056601-2013-00007
    Event Type
    Injury
    Date Received
    April 2, 2013
    Date of Event
    March 5, 2013
    Report Date
    March 27, 2013
    Manufacturer
    HOVEROUND CORP.
    Product Code
    INI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    OPERATOR ERROR: NO MALFUNCTION OF THE POWER WHEELCHAIR SUSPECTED. THE END USER REPORTED NOT PAYING ATTENTION TO WHERE HE WAS DRIVING AND DROVE DOWN A FLIGHT OF STAIRS INSTEAD OF THE WHEELCHAIR RAMP. THE OWNER'S MANUAL WARNS, "NEVER ATTEMPT TO DRIVE WHEELCHAIR OFF OR UP ONTO A CURB, STAIRS HIGHER THAN 1.5", OR AN ESCALATOR", AND "AVOID RAMPS AND SLOPES THAT ARE TOO STEEP SUCH AS THOSE THAT EXCEED 5 DEGREES."

    Description of Event or Problem · 1

    END USER'S REPORTS WHILE DRIVING THE POWER WHEELCHAIR, HE WAS NOT PAYING ATTENTION AND ACCIDENTALLY DROVE DOWN STEPS INSTEAD OF THE WHEELCHAIR RAMP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    133845 HOVEROUND CORPORATION MOTORIZED WHEELCHAIR INI HOVEROUND CORP. MPV5

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Hospitalization| R