MAUDE Adverse Event Report: Permobil Inc. M Corpus VS; Powered Wheelchair

Model Number	M Corpus VS
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes	Bone Fracture(s) (1870); Limb Fracture (4518)
Date of Event	05/20/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
Reports while operating the device inside the home, while turning to maneuver down a hallway, the end-user reportedly drove the device into a wall where their arm became entrapped between the armrest and wall resulting in an injury requiring medical intervention.
Additional Manufacturer Narrative
During the troubleshooting of a current system message, the dealer technician made mention the message appeared after an event where the end-user claimed having driven the device into a wall, and since then has been receiving the message.In conversation, the end-user mentioned having hit the wall with enough force to have broken their right arm due to being caught between the armrest and the wall.The end-user did not make any claims or allegations that the device malfunctioned in any way to have caused loss of control, only that they inadvertently maneuvered the device into a wall at speed.With the information provided, and the device being reported to remain fully operational, it is permobil's determination the most probable root cause for the reported event was inadvertent user error.

• Brand Name: M Corpus VS
• Common Device Name: Powered Wheelchair
• Manufacturer (Section D): Permobil Inc.; 300 duke drive; lebanon TN 37090
• Manufacturer (Section G): Permobil Inc.; 300 duke drive; lebanon TN 37090
• Manufacturer Contact: ivan fernandez ; 300 duke drive; lebanon, TN 37090 ; +1(800)736-0925
• MDR Report Key: 50211934
• Report Number: 1221084-2026-00017
• Device Sequence Number: 9998951
• Product Code: IPL
• UDI-Device Identifier: 17330818002003
• UDI-Public: (01)17330818002003(11)250602
• Combination Product (Y/N): N
• Initial Reporter State: NE
• Initial Reporter Country: US
• PMA/510(K) Number: K191874
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Y
• Reporter Type: Manufacturer
• Report Source: Distributor
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial
• Report Date (Section B): 08/11/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Lay User/Patient
• Device Model Number: M Corpus VS
• Device Catalogue Number: n/a
• Device Lot Number: n/a
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 07/28/2026
• Initial Report FDA Received Date: 08/11/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 06/02/2025
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Hospitalization
• Patient Sex: Unknown