inforMED
MalfunctionLBE

LITTLE WAVE FLIP

Received Dec 22, 2022 · Event occurred Nov 23, 2021

Report 3005905321-2022-00006 · MDR key 16035057

Device

Generic name

Adaptive Stroller

Manufacturer

Ki Mobility, Llc

Model number

FLIP

Product problems

  • Break
  • Break

Patient

Unknown

  • Concussion
  • Concussion

Narrative

Description of Event or Problem

USER AND WHEELCHAIR WERE BEING TRANSPORTED IN TAXI, USING THE TRANSPORTATION BRACKETS. DURING THE JOURNEY, THE HUB OF THE WHEEL FAILED AND THE USER WAS PROPELLED INTO THE SIDE OF THE TAXI INTERIOR. USER HAS SUFFERED A CONCUSSION AS A RESULT OF THE INCIDENT. INCIDENT REPORT WAS COMPLETED AND IS ON RECORD. CUSTOMER IS UNSURE AT THIS TIME AS IT'S NOT CLEAR THE WHEEL ALREADY HAD EXISTING DAMAGE OR WAS CRACKED ALREADY WHILE IN USE.

Remedial action

  • Replace