inforMED
InjuryIOR

KI

Received Jul 21, 2026 · Event occurred Feb 18, 2022

Report 3005905321-2026-00007 · MDR key 25895489

Device

Generic name

Catalyst 5

Manufacturer

Ki Mobility, Llc

Model number

CATALYST 5

Catalog number

CATALYST 5

Product problems

  • Insufficient Device Problem Information

Patient

NA · Unknown

  • Bone Fracture(s)

Narrative

Additional Manufacturer Narrative

ON (B)(6) 2022 THE USER WAS TRAVELING, WITH THE WHEELCHAIR AND ELECTRIC PROPELLER INSERTED AS DESCRIBED ABOVE, ON A PAVED ROAD IN THE CENTER OF (B)(6) WHEN THE FRONT WHEELS GOT STUCK IN A HOLE. THE SUDDEN BLOCK CAUSED THE WHEELCHAIR TO TIP OVER FROM THE FRONT. THE USER SUFFERED A FRACTURE OF THE METATARSALS IN THE FALL. FRACTURE TO BE ASCERTAINED AFTER THE MRI ON THURSDAY (B)(6) 2022. PER EMAIL FROM DEALER SINCE WE ARE AT THE END OF THE 15TH DAY FROM THE INCIDENT, WE WOULD LIKE TO KNOW IF KI MOBILITY INTENDS TO TREAT THE INCIDENT AS AN ACCIDENT, WITH THE REGISTRATIONS OF THE CASE ON THE WEBSITE OF THE ITALIAN MINISTRY OR IF IT IS TO BE TREATED AS AN UNPLEASANT EPISODE. AFTER RETROSPECTIVE REVIEW OF COMPLAINTS, THIS REPORT WILL BE FILED IN ABUNDANCE OF CAUTION BECAUSE RECORD WAS NOT REPORTED. NO ADDITIONAL INFORMATION OR COMMUNICATION WITH THE END USER AFTER THE INITIAL REPORT. REPLACEMENT PARTS WERE PROVIDED. COMPLAINT INVESTIGATION REPORT HAS NOT BEEN RETURNED FOR FURTHER EVALUATION.

Description of Event or Problem

DEALER STATED ACCIDENT WAS CAUSED BY ANTERIOR OVERTURNING OF THE WHEELCHAIR. PROVIDED FURTHER INFO- DEALER HAS BENOIT LIGHT DRIVE SYSTEM ON CHAIR WHILE THE USER WAS TRAVELING WITH THE ELECTRIC PROPELLER IN USE THE FRONT CASTERS GOT STUCK IN A HOLE. THIS CAUSED THE WHEELCHAIR TO TIP OVER TOWARDS THE FRONT. INJURIES NOTED BELOW IN ADDITIONAL INFO. REPORTED TO KI (B)(6) 2022, DEALER CONFIRMED IT HAPPENED ON (B)(6) 2022, HAPPENED IN (B)(6) ON A PAVED ROAD.