InjuryIOR
DRIVEMEDICAL
Received Oct 26, 2025 · Event occurred Sep 19, 2025
Report 3007309323-2025-00056 · MDR key 23387834
Device
Generic name
Wheelchair, Mechanical, Product Code: Ior
Manufacturer
Zhenjiang Assure Medical Equipment Co LtdModel number
CX418ADDA-ELRProduct problems
- Break
- Break
Patient
NA · Unknown
- Laceration(s)
- Concussion
- Convulsion/Seizure
- Laceration(s)
- Concussion
- Convulsion/Seizure
Narrative
Description of Event or Problem
DRIVE DEVILBISS HEALTHCARE WAS NOTIFIED OF AN INCIDENT INVOLVING A WHEELCHAIR BY THE PROVIDER WHO STATED THE END USER WAS SITTING IN THE WHEELCHAIR AND A WHEEL BROKE CAUSING THE END USER TO FALL TO THE FLOOR. THE END USER WAS HOSPITALIZED WITH A CONCUSSION, SEIZURES, AND A FOREARM SKIN TEAR. AS PART OF ITS COMPLAINT REVIEW AND EVALUATION PROCESS, DRIVE DEVILBISS HEALTHCARE WILL ALSO NOTIFY THE MANUFACTURER OF THE PRODUCT ABOUT THIS COMPLAINT.
Remedial action
- Repair
- Inspection