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510(k) Data Aggregation

    K Number
    K251159

    Validate with FDA (Live)

    Device Name
    Power wheelchair
    Date Cleared
    2025-12-22

    (251 days)

    Product Code
    Regulation Number
    890.3860
    Age Range
    All
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Shanghai 200122
    China

    Re: K251159
    Trade/Device Name: Power wheelchair
    Regulation Number: 21 CFR 890.3860
    Product code: ITI
    Regulation Number: 890.3860
    Review Panel: Physical Medicine

    C.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    It is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

    Device Description

    This product consists of frame, wheels, seat, armrest, backrest, headrest, battery, motor and controller with a lightweight and compact design. The whole wheelchair can be folded and it can be easily carried or rolled after folding. The backrest, headrest and armrest can be adjustable. Users can drive the wheelchair by themselves through the control device.

    The wheelchair uses lead-acid batteries as its power source. The controller controls the drive left/right motor to realize the wheelchair forward, backward and turn functions.

    The frame of the device is steel and aluminum. The front wheels are driven wheels suitable for rotation, acceleration, retrograde and other actions of the wheelchair. The front wheels movement will be achieved by thrust generated from the rear wheels. The rear wheels are driving wheels to control the speed and direction. The wheels are Solid PU tires.

    When in use, the operator drives the motor of the rear wheel by operating the joystick to achieve the rear wheels movement.

    The DC brushless motor and brake system are fixed on the rear wheels.

    The max loading of the device is 135KG. Only for one person sit.

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    K Number
    K252862

    Validate with FDA (Live)

    Date Cleared
    2025-12-08

    (90 days)

    Product Code
    Regulation Number
    890.3860
    Age Range
    All
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    China

    Re: K252862
    Trade/Device Name: Electric Wheelchair (DH01126)
    Regulation Number: 21 CFR 890.3860
    Wheelchair, Powered
    Classification: Class II
    Product code: ITI
    Regulation Number: 21 CFR 890.3860
    -------------|----------------------|
    | Product Code | ITI | ITI | Same |
    | Regulation No. | 21 CFR 890.3860
    | 21 CFR 890.3860 | Same |

    2 / 8
    K252862

    Page 7

    *FOSHAN DAHAO MEDICAL TECHNOLOGY CO., LTD.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    It is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

    Device Description

    The subject Electric Wheelchair is a wheeled personal mobility device that incorporates a seat-support system for a person with a disability or a person without the full capacity to walk designed to be propelled by power from electric motors. The electronic control of speed and direction can be performed by the occupant with the help of controlling joystick. The device can be quickly folded and disassembled, which makes it convenient to be stored or placed at the trunk of vehicles while traveling.

    The subject Electric Wheelchair are intended to provide mobility to a disabled or elderly limited to a seated position. It is of indoor and outdoor type, suitable for the use indoor and flat path near buildings, but not on grass, gravel roads, large slopes or motorway, neither on muddy, rugged, soft, narrow, icy road, bad roads such as dangerous roads without guardrails or waterways.

    The DH01126 Electric Wheelchair consists of two parts, the wheelchair main body and the electrical part. The main body includes a main foldable frame, two armrests, a backrest, a seat cushion, two rear driving wheels and two front wheels. The electrical part is composed of two 24V DC motors, two brakes, lithium battery, a controller and an off-board charger.

    The device is powered by Li-ion battery, which can be recharged by an off-board battery charger that can be plugged into an AC socket outlet when the device is not in use.

    The patient can activate the controller handle (joystick) to control the speed and direction of the wheelchair. The further the joystick is pushed from its central position, the faster the wheelchair moves, when it is released, it will automatically reset and brake.

    The DC brushless motor and brake system are fixed on the rear wheels.

    The max loading of both models is 100KG. Only for one person sit.

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    K Number
    K252494

    Validate with FDA (Live)

    Date Cleared
    2025-12-05

    (119 days)

    Product Code
    Regulation Number
    890.3860
    Age Range
    All
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Trade/Device Name: Electrically powered wheelchair (KZ301B)
    Regulation Number: 21 CFR 890.3860
    Classification name:* Powered wheelchair
    Regulation class: 2
    Regulation number: 21CFR 890.3860
    |
    | Device classification name | Class II | Class II | same |
    | Classification regulations | 21 CFR 890.3860
    | 21 CFR 890.3860 | same |
    | Product code | ITI | ITI | same |
    | Indication for use | The Electrically

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Electrically powered wheelchair is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

    Device Description

    The Electrically powered wheelchair mainly consists: a frame (a front wheel bracket, a motor frame, a seat frame, a backrest frame), armrests, a controller, a driver, a seat cushion, a back cushion, footrests, 4 wheels, 2 back wheel motors, 2 anti-tilt wheels, a safety belt and 2 lithium batteries.

    The device is composed of two sets of four-bar linkage hinges, which can be unfolded and folded. After unfolding, the two sets of four-bar linkage are locked by a locking structure.

    The device is installed with an electromagnetic brake that will engage automatically when the device is not in use and the brake cannot be used manually. The device only can be operated on the flat and hard road.

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    K Number
    K252829

    Validate with FDA (Live)

    Date Cleared
    2025-11-12

    (68 days)

    Product Code
    Regulation Number
    890.3860
    Age Range
    All
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    85249

    Re: K252829
    Trade/Device Name: Powered Wheelchair (PL001-9001)
    Regulation Number: 21 CFR 890.3860
    Wheelchair |
    | Regulation Name(s): | Powered Wheelchair |
    | Regulation Number(s): | 21 CFR 890.3860
    Primary Product Code: | ITI |
    | Device Class: | Class II |
    | Predicate Device: | 21 CFR 890.3860
    Wheelchair |
    | Regulation Name(s): | Powered Wheelchair |
    | Regulation Number(s): | 21 CFR 890.3860
    | 890.3860 | Identical |
    | Product Code | ITI | ITI | Identical |
    | Classification | 2 | 2 | Identical

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    It is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

    Device Description

    The subject device consists of a frame, wheels, a seat, an armrest, a lithium battery, a motor, and a controller with a lightweight and compact design. The entire wheelchair can be folded, allowing it to be easily carried or rolled after folding. The seat cushion is detachable. The armrest can be flipped upside down, which is convenient for the elderly to move. Users can drive the wheelchair independently by controlling the device.

    It uses lithium batteries as its power source. The controller controls the drive left/right motor, enabling the wheelchair to move forward, backward, and turn.

    The frame of the device is made of Aluminum Alloy, the same as previously specified in PL001 of K113463. The front wheels are driven wheels that are suitable for rotation, acceleration, and retrograde motion, as well as other actions of the wheelchair. The front wheels' movement will be achieved by the thrust generated from the rear wheels. The rear wheels serve as the driving wheels, controlling speed and direction. The wheels are PU Solid tires. When in use, the operator drives the motor of the rear wheel by operating the controller's joystick to achieve movement of the rear wheel.

    The DC brushless motor and brake system are fixed on the rear wheels.

    The maximum loading capacity of the device is 136 kg. Only one person can sit.

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    K Number
    K250819

    Validate with FDA (Live)

    Date Cleared
    2025-11-07

    (234 days)

    Product Code
    Regulation Number
    890.3860
    Age Range
    All
    Reference & Predicate Devices
    N/A
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    K250819**
    Trade/Device Name: Electric Wheelchair (Rollz Motion Electric 2M)
    Regulation Number: 21 CFR 890.3860
    K250819**
    Trade/Device Name: Electric Wheelchair (Rollz Motion Electric 2M)
    Regulation Number: 21 CFR 890.3860

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Electric Wheelchair is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

    Device Description

    Not Found

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    K Number
    K252671

    Validate with FDA (Live)

    Date Cleared
    2025-11-03

    (70 days)

    Product Code
    Regulation Number
    890.3860
    Age Range
    All
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    China

    Re: K252671

    • Trade/Device Name: Electric wheelchair (NSDS-01)
    • Regulation Number: 21 CFR 890.3860
      Classification name:* Powered wheelchair
    • Regulation class: 2
    • Regulation number: 21CFR 890.3860
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    It is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

    Device Description

    The subject device, Electric Wheelchair, mainly powered by battery, motivated by DC motor, driven by user controlling joystick controller and adjusting speed. Products for adult use.

    The Electric Wheelchair is a battery powered four wheeled vehicle. It consists lithium-ion battery with an off-board battery charger, Push handle, Seat, Back support, Joystick controller, Control panel (including: Speed light, ON/OFF button, Horn, Joystick, Accelerated button, Deceleration button), Arm supports, Anti-tip wheel, Front wheel, Rear wheels.

    The operation of the Controller: Use the On/Off button to turn on or turn off the power, The main function of the Joystick is to control the speed and direction of the wheelchair, the Joystick can control the wheelchair to travel in any direction, the operation of the Joystick movement will determine the wheelchair in that direction speed of movement. The farther the Joystick is moving from the center, the faster the wheelchair runs. When you release the Joystick, the wheelchair is automatically braked. Use the speed control button to reduce or increase the speed setting. The Electric/ manual model change lever underneath the seat will allow for the brakes to engage or disengage. When adjusted to the manual model, the assistant can easily push the wheelchair. The Electric Wheelchair has a structure for quick assembly and disassembly that is convenient to be stored or placed in the trunk of your vehicle while traveling.

    The Electric Wheelchair has 8 inch front wheel and 12.5 inch rear tire.

    Max. distance of travel on the fully charged battery is 11 km and Max. speed forward is 6.48 km/h.

    When the wheelchair needs to stop, release the joystick. After a set period of time, the controller disconnects the solenoid brake power supply, and the internal spring squeezes the suction plate and friction plate to lock the motor, so as to brake.

    The braking time is about 2s, and the braking distance is ≤1.5m.

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    K Number
    K251565

    Validate with FDA (Live)

    Date Cleared
    2025-10-06

    (137 days)

    Product Code
    Regulation Number
    890.3860
    Age Range
    All
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    200122
    China

    Re: K251565
    Trade/Device Name: Wheelchair (N817)
    Regulation Number: 21 CFR 890.3860
    Common Name | Powered wheelchair |
    | Classification Name | Wheelchair, Powered |
    | Regulation Number | 890.3860

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    It is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

    Device Description

    The product is intended only carry one person and used as a means of transportation for the disabled, the sick and the infirm. The electric wheelchair is classified as class A and the maximum occupant mass is 120kg. The Electric Wheelchair is a battery powered vehicle. It consists one Lithium battery with an off-board battery charger, frame, controller, motors, seat, back support, control device (including the battery power indicator light, ON/OFF button, horn button, speed indicator, speed increase button, speed decrease button, joystick, battery charger socket), arm supports, push handle, two rear wheels, two casters(front wheels), foot supports, anti-tip devices. The wheelchair can easily fold and unfold for transportation or storage.

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    K Number
    K252428

    Validate with FDA (Live)

    Date Cleared
    2025-09-18

    (48 days)

    Product Code
    Regulation Number
    890.3860
    Age Range
    All
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Re: K252428
    Trade/Device Name: Electric Wheelchair (Model P2)
    Regulation Number: 21 CFR 890.3860
    Classification name: Powered wheelchair

    Regulation class: 2

    Regulation number: 21CFR 890.3860
    |
    | Device classification name | Class II | Class II | Same |
    | Classification regulations | 21 CFR 890.3860
    | 21 CFR 890.3860 | Same |
    | Product code | ITI | ITI | Same |

    Similarities

    | Attribute | Subject

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The electric wheelchair is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

    Device Description

    The Electric wheelchair, Model P2, is an indoor/outdoor, foldable, battery-operated 2-wheel (rear-wheel drive) powered wheelchair. It consists of two parts: the electrical part and the wheelchair main body. The electric part includes brushless motor, electromagnetic brake system, controller, rechargeable Lithium-Ion battery and off-board battery charger. The main parts of the wheelchair include front wheels, rear wheels, frame, armrest, backrest and seat cushion.

    The control system, including the controller handle (joystick), is equipped on the control board that attaches to the one of the arm rests. When the joystick is released, the electromagnetic brakes will be actuated, and the power wheelchair is slowed to a stop.

    The electric wheelchair can be folded/ expanded manually. The Left and right handrails (joystick) can be interchange.

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    K Number
    K251891

    Validate with FDA (Live)

    Date Cleared
    2025-09-09

    (81 days)

    Product Code
    Regulation Number
    890.3860
    Age Range
    All
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    China

    Re: K251891
    Trade/Device Name: Electric Wheelchair (GY-E001)
    Regulation Number: 21 CFR 890.3860
    Common Name | Powered wheelchair |
    | Classification Name | Wheelchair, Powered |
    | Regulation Number | 890.3860

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    It is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

    Device Description

    The subject device, Electric Wheelchair, mainly powered by battery, motivated by DC motor, driven by user controlling joystick controller and adjusting speed, products for adult use.

    The Electric Wheelchair is a battery powered four wheeled vehicle. It consists Lithium battery with an off-board battery charger, Push handle, Seat, Back support, Joystick controller, Control panel (including: Speed light, ON/OFF button, Horn, Joystick, Accelerated button, Decelerated button), Arm support (Anti-tip wheel, Front wheel, Rear wheels.

    The operation of the Controller: Use the On/Off button to turn on or turn off the power, The main function of the Joystick is to control the speed and direction of the wheelchair, the Joystick can control the wheelchair to travel in any direction, the operation of the Joystick movement will determine the wheelchair in that direction speed of movement. The farther the Joystick is moving from the center, the faster the wheelchair runs. When you release the Joystick, the wheelchair is automatically braked. Use the speed control button to reduce or increase the speed setting. The Electric/ manual model change lever underneath the seat will allow for the brakes to engage or disengage. When adjusted to the manual model, the assistant can easily push the wheelchair. The Electric Wheelchair has a structure for quick assembly and disassembly that is convenient to be stored or placed in the trunk of your vehicle while traveling.

    The Electric Wheelchair has 7 inch front wheel and 12 inch rear tire.

    Max. distance of travel on the fully charged battery is 12.4 km and Max. speed forward is 6.48 km/h.

    When the wheelchair needs to stop, release the joystick. After a set period of time, the controller disconnects the solenoid brake power supply, and the internal spring squeezes the suction plate and friction plate to lock the motor, so as to brake.

    The braking time is about 2s, and the braking distance is <=1.5m.

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    K Number
    K250729

    Validate with FDA (Live)

    Manufacturer
    Date Cleared
    2025-07-02

    (113 days)

    Product Code
    Regulation Number
    890.3860
    Age Range
    All
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    China

    Re: K250729
    Trade/Device Name: Power Wheelchair (MOB1107)
    Regulation Number: 21 CFR 890.3860
    Classification name:* Powered wheelchair
    Regulation class: 2
    Regulation number: 21CFR 890.3860

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    It is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

    Device Description

    The subject device, Power Wheelchair, mainly powered by battery, motivated by DC motor, driven by user controlling joystick controller and adjusting speed. Products for adult use.

    The Power Wheelchair is a battery powered four wheeled vehicle. It consists Li-ion battery with an off-board battery charger, Push handle, Seat, Back support, Joystick controller, Control panel (including: Speed light, ON/OFF button, Horn, Joystick, Accelerated button, Deceleration button), Arm supports, Anti-tip wheel, Front wheel, Rear wheels.

    The operation of the Controller: Use the On/Off button to turn on or turn off the power, The main function of the Joystick is to control the speed and direction of the wheelchair, the Joystick can control the wheelchair to travel in any direction, the operation of the Joystick movement will determine the wheelchair in that direction speed of movement. The farther the Joystick is moving from the center, the faster the wheelchair runs. When you release the Joystick, the wheelchair is automatically braked. Use the speed control button to reduce or increase the speed setting. The Electric/ manual model change lever underneath the seat will allow for the brakes to engage or disengage. When adjusted to the manual model, the assistant can easily push the wheelchair. The Power Wheelchair has a structure for quick assembly and disassembly that is convenient to be stored or placed in the trunk of your vehicle while traveling.

    The Power Wheelchair has 7 inch front wheel and 12 inch rear tire.

    Max. distance of travel on the fully charged battery is 7.5 km and Max. speed forward is 6.48 km/h.

    When the wheelchair needs to stop, release the joystick. After a set period of time, the controller disconnects the solenoid brake power supply, and the internal spring squeezes the suction plate and friction plate to lock the motor, so as to brake.

    The braking time is about 2s, and the braking distance is ≤1.5m.

    AI/ML Overview

    Based on the provided FDA 510(k) clearance letter for the Vive Health LLC Power Wheelchair (MOB1107), here's an analysis addressing the acceptance criteria and study proving the device meets those criteria:

    The document describes a Class II medical device (Powered Wheelchair, Product Code: ITI) undergoing a 510(k) premarket notification process. This process focuses on demonstrating substantial equivalence to a predicate device rather than proving clinical efficacy or superiority through extensive clinical trials. Therefore, the "study that proves the device meets the acceptance criteria" primarily refers to non-clinical performance testing against established international standards for wheelchairs, rather than AI/software performance metrics often seen in other medical device clearances.

    Crucially, this document is for a physical medical device (power wheelchair), NOT a software/AI medical device. Many of the points you requested (e.g., number of experts, adjudication method, MRMC study, standalone AI performance, ground truth for training) are not applicable to this type of device clearance. The "performance" being evaluated here is mechanical, electrical, and safety performance of the wheelchair itself.


    Acceptance Criteria and Reported Device Performance

    The acceptance criteria for this power wheelchair are derived from international ISO standards for wheelchairs. The "reported device performance" is essentially a statement of compliance with these standards, indicating that various tests were conducted and the device met the specifications within those standards.

    Table of Acceptance Criteria and Reported Device Performance:

    Performance Aspect (Acceptance Criteria Reference Standard)Reported Device Performance (Subject Device K250729)
    Biocompatibility (Compliance with ISO 10993-5 and ISO 10993-10)All directly tissue-contacting materials are identical to the Predicate Device, with Right-of-Reference from the predicate manufacturer, implying compliance.
    Electromagnetic Compatibility (EMC) (ISO 7176-21 & IEC 60601-1-2)The EMC performance results meet the requirements.
    Static Stability (ISO 7176-1)Determined after testing according to ISO 7176-1; test results meet design specification.
    Dynamic Stability (ISO 7176-2)Determined after testing according to ISO 7176-2; test results meet design specification.
    Brake Effectiveness (ISO 7176-3)Determined after testing according to ISO 7176-3; test results meet design specification.
    Theoretical Distance Range (ISO 7176-4)Determined after testing according to ISO 7176-4; test results meet design specification.
    Dimensions & Mass (ISO 7176-5)Determined after testing according to ISO 7176-5.
    Dimensions & Mass (ISO 7176-6)Determined after testing according to ISO 7176-6.
    Seating & Wheel Dimensions (ISO 7176-7)Determined after testing according to ISO 7176-7.
    Static, Impact & Fatigue Strengths (ISO 7176-8)All test results meet requirements in Clause 4 of ISO 7176-8.
    Climatic Tests (Functionality after exposure) (ISO 7176-9)Device continued to function according to manufacturer's specification after being subjected to tests specified in Clause 8 of ISO 7176-9.
    Obstacle-climbing ability (ISO 7176-10)Determined after testing according to ISO 7176-10.
    Test Dummies suitability (ISO 7176-11)Test dummies used meet the requirements of ISO 7176-11.
    Coefficient of Friction of Test Surfaces (ISO 7176-13)Determined, for use in other 7176 series tests.
    Power and Control Systems (ISO 7176-14)All test results meet the requirements in Clause 7, 8, 9, 10, 11, 12, 13, 14, 15, 17 of ISO 7176-14.
    Information Disclosure, Documentation & Labeling (ISO 7176-15)Test results show information disclosure, documentation and labelling meet requirements.
    Resistance to Ignition (ISO 16840-10)Performance of resistance to ignition meets the requirements.
    Performance Testing Set-up Procedures (ISO 7176-22)ISO 7176-series performance testing used set-up procedures according to ISO 7176-22.
    Batteries and Chargers Performance (ISO 7176-25)Performance meets the requirements.
    Maximum Braking Distance (Implicit in ISO 7176-3)Reported as ≤0.9 m (Same as predicate, document states 2s braking time and ≤1.5m, but table says ≤0.9m). The document then clarifies "When you release the Joystick, the wheelchair is automatically braked. The braking time is about 2s, and the braking distance is ≤1.5m." The table comparison states "Braking distance ≤0.9m" and "Same" as predicate. This is a minor inconsistency in the summary but the acceptance is based on meeting the ISO 7176-3 design specification.
    Maximum Safe Operational Incline Degree (Implicit in Dynamic Stability)10° (Same as predicate).
    Maximum Speed Forward6.5 km/h (1.8 m/s) (Same as predicate).
    Maximum Obstacle Climbing25 mm (Predicate was 40mm, so this is a difference, but likely still within an acceptable standard).

    Inapplicable/Not Provided Information for a Physical Wheelchair 510(k):

    The following points are standard for AI/ML device submissions but are not applicable and therefore not provided in this traditional medical device 510(k) for a power wheelchair:

    1. Sample sizes used for the test set and the data provenance: Not relevant for physical device performance testing against engineering standards. The "samples" would be the manufactured wheelchairs tested. Data provenance typically refers to patient/clinical data, which isn't used for this type of device's "performance" evaluation.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth for a physical device's performance (e.g., brake effectiveness, stability) is established by physical measurement against engineering standards, not expert consensus on medical images.
    3. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable. Adjudication methods are for human interpretation of data, typically medical images or clinical outcomes.
    4. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This is for AI/software devices.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This is for AI/software devices.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): For this device, the "ground truth" is defined by the technical specifications and testing methods outlined in the ISO 7176 series and IEC 60601-1-2 standards, confirmed by laboratory testing.
    7. The sample size for the training set: Not applicable. There is no AI/ML model for this device that requires training data.
    8. How the ground truth for the training set was established: Not applicable, as there is no training set for an AI/ML model.

    Summary of the "Study" Proving Substantial Equivalence and Meeting Criteria:

    The "study" proving the Vive Health LLC Power Wheelchair (MOB1107) meets acceptance criteria and is substantially equivalent to its predicate device (K242791) is based entirely on non-clinical laboratory performance testing and technical comparisons.

    • Study Design: The manufacturer performed a series of tests on the subject device according to the rigorous requirements of various international ISO 7176 series standards (for wheelchairs) and IEC 60601-1-2 (for electromagnetic compatibility/electrical safety).
    • Measurement: These tests involve direct physical measurements of parameters like static stability, dynamic stability, brake effectiveness, theoretical distance range, dimensions, weight, maximum speed, obstacle-climbing ability, as well as evaluating material biocompatibility and electrical safety.
    • Assessment of Compliance: The results of these tests were expected to "meet its design specification" or "meet the requirements" of the respective ISO standards. The submission asserts that the subject device's performance did meet these requirements.
    • Substantial Equivalence Argument: The core of the 510(k) submission is that because the subject device demonstrates comparable technical characteristics and achieves equivalent performance (as verified by these standard tests) to a legally marketed predicate device, it is considered "substantially equivalent" in terms of safety and effectiveness. The document explicitly states: "All these tests have corresponding requirements/ acceptance criteria following above mentioned standards. And the test results show that the subject device is within acceptable performance specifications and thus substantially equivalent to the predicate device in performance."
    • No Clinical Studies: The document explicitly states, "No animal study and clinical studies are available for our device. Clinical testing was not required to demonstrate the substantial equivalence of the power wheelchair to its predicate device." This reinforces that the safety and performance were established through non-clinical, engineering-based testing.
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