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On january 9, 2026, the manufacturer became aware of a complaint originally submitted via the company website on december 22, 2025.Due to a temporary website system outage, the complaint was processed on january 9, 2026.The end user reported development of a pressure ulcer located on the lower back area.The user described the wound as approximately 3 inches wide and 1.5 inches tall.The user indicated that the wound had been evaluated by a physician on (b)(6) 2026, and that treatment was ongoing at (b)(6) medical center.The device was reportedly provided through a veterans affairs (va) facility approximately three weeks prior to the event.The end user stated that a metal component in the lower backrest area was contacting the skin and that due to lack of sensation, the user did not initially perceive the pressure.The user reported that the area lacked padding and that prolonged contact allegedly contributed to the wound development.The user added padding to the area after noticing the injury.On (b)(6) 2026, follow-up communication with the va indicated that the patient had been admitted to the hospital for treatment of the pressure injury.It was subsequently reported that the pressure ulcer was infected.At the time of initial follow-up, the va representative had not yet physically evaluated the device or patient and was awaiting further assessment.Photographs of the affected area and device were later obtained and added to the complaint file.Additional details collected include user-reported height of approximately 5 feet 11 inches and weight of approximately 180 pounds.It was noted in follow-up that the chair did not have a vanity flap installed at the time of review; it is unknown when or if this component had been removed.The user also requested armrest adjustments for doorway clearance.Conclusion: in conclusion, due to the serious injury, this mdr is being filed.
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