inforMED
InjuryKNN

SMART DRIVE

Received Jun 20, 2025 · Event occurred Apr 15, 2025

Report MW5171705 · MDR key 22300616

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Product code (KNN)
Manufacturer (Permobil, Inc.)

Device

Generic name

Components, Wheelchair

Manufacturer

Permobil, Inc.

Product problems

  • Self-Activation or Keying
  • Failure to Read Input Signal
  • Unintended Movement
  • Fail-Safe Did Not Operate

Patient

75 YR · Female

  • Spinal Cord Injury
  • Multiple Fractures
  • Spinal Cord Injury
  • Multiple Fractures

Narrative

Description of Event or Problem

ON APRIL 15TH AT APPX 11AM I WENT TO MY RESORT OFFICE IN (B)(6). THE SMART DRIVE WAS PUT ON THE BACK OF MY CHAIR, I WENT TO THE FRONT DOOR TURNED ON THE MOTOR AND ADVANCE IT FORWARD AND WENT TO THE OFFICE. AS I APPROACHED THE OFFICE I TURNED THE MOTOR OFF, PUSHED MYSELF FORWARD REACHED OVER AND PRESSED THE AUTO DOOR OPENER, MOVED HAND BACK AND THE MOTOR TURNED ON AND PUSHED ME INTO THE GLASS DOOR. I THOUGHT IT ODD BUT DISMISSED IT AS I HAD A MEETING TO ATTEND. I WENT TO MY MEETING TURNED MY MOTOR OFF AND CHECKED THE OFF DIAL A COUPLE TIMES. AT A LITTLE AFTER NOON I MET MY FRIEND AND PROCEEDED TO WALK DOWN THE STREET TO EAT AND SHOP. AT APPX. 2:15PM MY FRIEND AND I STARTED WALKING BACK TO THE RESORT, I SAW A FAMILY OF BIRDS I WANTED TO TAKE A PICTURE. WE STOPPED, I SHUT MY MOTOR OFF, I GOT MY PHONE OUT TO TAKE A PICTURE WHEN MY FRIEND SCARED THE BIRDS AWAY. I BACK AWAY TO GET BACK ON THE SIDEWALK WHEN MY CHAIR SHOT FORWARD TOWARD A PATCH OF GRASS. I GRABBED MY RIMS TO STOP, MY FRONT CASTERS HIT THE GRASS THE MOTOR KEPT PUSHING ME FORWARD I TRIED TO TURN THE DIAL BACK IT WAS IN THE OFF POSITION, I WAS PITCHED FORWARD, I TRIED TO BREAK MY FALL I HEARD A CRACK MY WRIST INSTANTLY HURT AND I SAW MY WRIST WAS SEPARATED FROM MY HAND. I YELLED FOR MY FRIEND TO CALL 911. THIS ALL HAPPENED IN A MATTER OF SECONDS. I WAS TAKEN TO (B)(6) HOSPITAL EMERGENCY ROOM. I WAS GIVEN ANESTHESIA WHEN I WOKE UP THE DR. HAD RESET MY WRIST. IT WAS WRAPPED FROM MY HAND UP MY ARM. I WAS TOLD I WOULD NEED SURGERY. ON APRIL 28TH I GOT X-RAYS AT THE (B)(6) HOSPITAL AND FOUND MY LEFT LEG WAS FRACTURED AS WAS MY WRIST AND FOREARM. APRIL 29TH I HAD SURGERY ON MY LEFT WRIST, I HAD A METAL PLATE INSERTED FROM MY INDEX FINGER TO MY MID FOREARM AND A METAL ROD FROM THE PALM AREA WRIST TO APPX 5 INCHES UP MY ARM. WHEN THE WRIST IS HEALED THE TOP METAL WILL BE REMOVED THE BOTTOM ROD WILL STAY IN MY ARM FOREVER. I AM STILL AN INPATIENT AT THE (B)(6). SCI (SPINAL CORD INJURY) UNIT. THERE IS NO DATE FOR DISCHARGE. ALSO, I'VE USED A SMART DRIVE FOR SEVERAL YEARS, IT HAD ITS GLITCHES, ESPECIALLY WITH THE WATCHES. I USED THE DIAL FOR A COUPLE YEARS AND KNEW HOW TO TURN IT OFF AND ADVANCE IT WITH NO PROBLEM. THE NEW ONE WORKED THE SAME WAY, THE COMPLETE TURN OFF HAS A LITTLE CLICK TO IT. I HAVE HAD MANY X-RAYS AND BLOOD TESTS ALL AVAILABLE AT (B)(6).