K Number
K251458

Validate with FDA (Live)

Date Cleared
2026-01-15

(248 days)

Product Code
Regulation Number
890.3860
Age Range
All
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

This 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 product is intended only carry one person and used as a means of transportation for people with disabilities or incomplete walking ability (excluding obesity).

The electric wheelchair is classified as class A, which is suitable for use on flat walking paths indoors and near buildings.

The maximum occupant mass is 100kg.

The Electric Wheelchair is a battery powered four wheeled 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, ON/OFF button, horn button, speed indicator, speed control button, joystick, lighting switch, USB interface), arm supports, two rear wheels, two casters(front wheels), Foot support, anti-tip devices.

The wheelchair can easily fold and unfold for transportation or storage.

The controller handle (joystick) is equipped on the control pad that attaches to the right arm rest. While there is a bluetooth music play function equipped on the left arm rest. The bluetooth function does not connect to the controller, so it will not affect the normal operation of the wheelchair at all.

AI/ML Overview

N/A

FDA 510(k) Clearance Letter - Electric Wheelchair (DH01168)

Page 1

U.S. Food & Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993
www.fda.gov

Doc ID # 04017.08.02

January 15, 2026

Foshan Dahao Medical Technology Co., Ltd.
℅ Luna Hu
Consultant
Shanghai SUNGO Management Consulting Co., Ltd.
Room 1401, Dongfang Building, 1500# Century Ave.
Shanghai, 200122
China

Re: K251458
Trade/Device Name: Electric Wheelchair (DH01168)
Regulation Number: 21 CFR 890.3860
Regulation Name: Powered Wheelchair
Regulatory Class: Class II
Product Code: ITI
Dated: December 17, 2025
Received: December 17, 2025

Dear Luna Hu:

We have reviewed your section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (the Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database available at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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K251458 - Luna Hu Page 2

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-

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K251458 - Luna Hu Page 3

assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Digitally signed by MARY S. KESZLER -S
Date: 2026.01.15 13:36:51 -05'00'

for Tushar Bansal, PhD
Acting Assistant Director, Acute Injury Devices Team
DHT5B: Division of Neuromodulation and Physical Medicine Devices
OHT5: Office of Neurological and Physical Medicine Devices
Office of Product Evaluation and Quality
Center for Devices and Radiological Health

Enclosure

Page 4

Indications for Use

Please type in the marketing application/submission number, if it is known. This textbox will be left blank for original applications/submissions.

K251458

Please provide the device trade name(s).

Electric Wheelchair (DH01168)

Please provide your Indications for Use below.

This 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.

Please select the types of uses (select one or both, as applicable).

  • Prescription Use (Part 21 CFR 801 Subpart D)
  • Over-The-Counter Use (21 CFR 801 Subpart C)

Electric Wheelchair Page 12 of 46

Page 5

FOSHAN DAHAO MEDICAL TECHNOLOGY CO., LTD

510(k) Summary

K251458

Document Prepared Date: 2025/05/08

1. Applicant

Company name: FOSHAN DAHAO MEDICAL TECHNOLOGY CO., LTD
Address: Building 1, 2nd Floor of Building 2, 3rd Floor of Building2, Building 3, 4, 5, 6, 7, No.9 of Fanye Road, Leping Town, Sanshui District, Foshan City, Guangdong Province, P.R. China
Contact Person: Ms. Bao Yixie
Tel: 86-13760674304

Submission Correspondent:

Primary Contact: Luna Hu
Shanghai SUNGO Management Consulting Co., Ltd.
14th Floor, Dongfang Building, 1500# Central Ave., Shanghai 200122, China
Tel: 0086-21-58817802
Email: liu.hu@sungoglobal.com

Secondary Contact: Raymond Luo
Shanghai SUNGO Management Consulting Co., Ltd.
14th Floor, Dongfang Building, 1500# Central Ave., Shanghai 200122, China
Tel: 0086-21-68828050
Email: zxfda@sungoglobal.com

2. Device

Trade name: Electric Wheelchair
Classification name: Powered wheelchair
Model: DH01168

Regulatory Information

  • Classification: Class II
  • Product code: ITI
  • Regulation Number: 890.3860
  • Review Panel: Physical Medicine

Page 6

3. Predicate Device

Manufacturer: NANJING E-TAKE MEDICAL APPARATUS CO., LTD.
Product Name: Electric Wheelchair (MODEL H)
510(K) #: K242989

4. Indication for Use

This 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.

5. Device Description

The product is intended only carry one person and used as a means of transportation for people with disabilities or incomplete walking ability (excluding obesity).

The electric wheelchair is classified as class A, which is suitable for use on flat walking paths indoors and near buildings.

The maximum occupant mass is 100kg.

The Electric Wheelchair is a battery powered four wheeled 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, ON/OFF button, horn button, speed indicator, speed control button, joystick, lighting switch, USB interface), arm supports, two rear wheels, two casters(front wheels), Foot support, anti-tip devices.

The wheelchair can easily fold and unfold for transportation or storage.

The controller handle (joystick) is equipped on the control pad that attaches to the right arm rest. While there is a bluetooth music play function equipped on the left arm rest. The bluetooth function does not connect to the controller, so it will not affect the normal operation of the wheelchair at all.

6. Non-clinical Test Conclusion

Non-clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

  • ISO 10993-5: 2009 Biological Evaluation of Medical Devices -- Part 5: Tests For In Vitro Cytotoxicity
  • ISO 10993-10: 2021 Biological Evaluation of Medical Devices -- Part 10: Tests For Skin Sensitization
  • ISO 10993-23:2021 Biological Evaluation of Medical Devices -- Part 23: Test for Intracutaneous Reactivity
  • ISO 7176-1:2014, Wheelchairs - Part 1: Determination of static stability
  • ISO 7176-2:2017, Wheelchairs - Part 2: Determination of dynamic stability of electrically powered wheelchairs

Page 7

  • ISO 7176-3:2012, Wheelchairs - Part 3: Determination of effectiveness of brakes
  • ISO 7176-4:2008, Wheelchairs - Part 4: Energy consumption of electric wheelchairs and scooters for determination of theoretical distance range
  • ISO 7176-5:2008, Wheelchairs - Part 5: Determination of overall dimensions, mass and maneuvering space
  • ISO 7176-6:2018, Wheelchairs - Part 6: Determination of maximum speed, acceleration and deceleration of electrically powered wheelchairs
  • ISO 7176-7:1998, Wheelchairs - Part 7: Measurement of seating and wheel dimensions
  • ISO 7176-8:2014, Wheelchairs -Part 8: Requirements and test methods for static, impact and fatigue strengths
  • ISO 7176-9:2009, Wheelchairs - Part 9: Climatic tests for electric wheelchairs
  • ISO 7176-10:2008, Wheelchairs - Part 10: Determination of obstacle-climbing ability of electrically powered wheelchairs
  • ISO 7176-11:2012 Wheelchairs - Part 11: Test dummies
  • ISO 7176-13:1989, Wheelchairs - Part 13: Determination of coefficient of friction of test surfaces
  • ISO 7176-14:2008, Wheelchairs - Part 14: Power and control systems for electrically powered wheelchairs and scooters - Requirements and test methods
  • ISO 7176-15:1996, Wheelchairs - Part 15: Requirements for information disclosure, documentation and labeling
  • ISO 7176-25:2013 Wheelchairs - Part 25: Batteries and chargers for powered wheelchairs
  • ISO 16840-10: 2021 Wheelchair seating - Part 10: Resistance to ignition of postural support devices - Requirements and test method
  • ISO 7176-21:2009 Wheelchairs - Part 21: Requirements and test methods for electromagnetic compatibility of electrically powered wheelchairs and scooters, and battery chargers
  • IEC 60601-1-2:2014+A1:2020 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests

7. Clinical Test Conclusion

No animal study and clinical studies are available for our device. Clinical testing was not required to demonstrate the substantial equivalence of the electric wheelchair to its predicate device.

8. Comparison technological characteristics with the predicate device

Table 1 General Comparison

Elements of ComparisonSubject DevicePredicate Device (K242989)Remark
ManufacturerFOSHAN DAHAO MEDICAL TECHNOLOGYNANJING E-TAKE MEDICAL APPARATUS--

Page 8

Elements of ComparisonSubject DevicePredicate Device (K242989)Remark
CO., LTDCO., LTD
Device nameElectric WheelchairElectric Wheelchair--
Model(s)DH01168MODEL H--
Indication for useThis 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.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.Same
Intended userdisabled or elderly person limited to a seated positiondisabled or elderly person limited to a seated positionSame
Use conditionIndoor and outdoor useIndoor and outdoor useSame
Number of wheels6, including two front wheels and two rear wheels, two anti-tip wheels6, including two front wheels and two rear wheels, two anti-tip wheelsSame
Function of wheelsFront wheels: driven wheels suitable for rotation, acceleration, retrogradeRear wheels: driving wheels to control the speed and directionAnti-tip wheels: preventing the wheelchair from tipping turning over when driving on the slope. Non-adjustableFront wheels: driven wheels suitable for rotation, acceleration, retrogradeRear wheels: driving wheels to control the speed and directionAnti-tip wheels: preventing the wheelchair from tipping turning over when driving on the slope. Non-adjustableSame
Movement control methodBy joystick controlBy joystick controlSame
Driving systemDirect drive on the rear wheelsDirect drive on the rear wheelsSame
Brake systemAutomatic electromagnetic brake systemAutomatic electromagnetic brake systemSame
Battery chargerOff-board chargerInput: 100-240VAC, 50/60Hz, 3.15AOutput: 29.4V, 3.0A;Off-board chargerInput: 100-240VAC, 50-60Hz 1.2-0.5AOutput: 24 Vdc, 2A;Different
Max Loading(on level ground)100KG120KGDifferent
Max obstacle climbingS mode:30mmD mode:35mmECO mode:40mm25mmDifferent
Total mass40KG23KGDifferent
Overall dimension (mm)106061010201130660950Different

Page 9

Elements of ComparisonSubject DevicePredicate Device (K242989)Remark
Stowage Dimension (mm)830610540890360900Different
Front wheel9inch/Pneumatic tires7inch/Solid tiresSame
Rear wheel12.5inch/Pneumatic tires24inch/Solid tiresDifferent
Max Speed (forward)5.4km/h(1.5m/s)6.84km/h(1.9m/s)Different
Max Speed (backward)1.44km/h(0.4m/s)3.24km/h(0.9m/s)Same
Maximum safe operational incline degreeSame
Brake Distance Normal operation (Horizontal-Forward Max speed)1.0m1.1mSimilar
BatteryLithium-ion battery; Rechargeable, 24V, 15.6Ah, 374.4WhLithium-ion battery; Rechargeable, 24V 10AhDifferent
Maximum distance of travel on the fully charged battery22.6km8.2kmDifferent
MotorBrushless DC motor; 24VDC 150W*2Brushless DC motor; 24VDC 200W*2Different
Electronic controllerXA5-C30Micon CON7084-WB controllerDifferent
Turn Radius825mm925mmSimilar

Difference analysis

The design and technological characteristics of the proposed Electric Wheelchair is similar to the predicate device. There are minor differences between the devices in battery charger, max Loading, max obstacle climbing, size, weight, wheel size, max speed, brake distance, turn radius, motor output, travel distance and controller model. All of the parameters with differences have been tested according to ISO7176 series standards and the test records support its safety and effectiveness. There is no deleterious effect on safety and effectiveness due to the minor differences do not influence the intended use of the device. Therefore, the proposed Electric Wheelchair is substantially equivalent (SE) to The Electric Wheelchair (K242989).

Table 2 safety comparison

ItemSubject DevicePredicate Device (K242989)Results
BiocompatibilityAll user directly contacting materials are compliance with ISO10993-1All user directly contacting materials are compliance with ISO10993-1Same
EMCISO7176-21& IEC 60601-1-2:2014+A1:2020 &IEC TR 60601-4-2:2016ISO7176-21& IEC 60601-1-2:2014+A1:2020Same
PerformanceISO7176 seriesISO7176 seriesSame
Label and labelingConforms to FDA RegulatoryConforms to FDA RegulatorySame

Page 10

ItemSubject DevicePredicate Device (K242989)Results
ISO7176-1The Static stability has been determined after the testing according to the ISO 7176-1, and test results meet its design specification.The Static stability has been determined after the testing according to the ISO 7176-1, and test results meet its design specification.Same
ISO7176-2The dynamic stability has been determined after the testing according to the ISO 7176-2, and test results meet its design specification.The dynamic stability has been determined after the testing according to the ISO 7176-2, and test results meet its design specification.Same
ISO7176-3The effectiveness of brakes has been determined after the testing according to the ISO 7176-3, and test results meet its design specification.The effectiveness of brakes has been determined after the testing according to the ISO 7176-3, and test results meet its design specification.Same
ISO7176-4The theoretical distance range has been determined after the testing according to the ISO 7176-4, and test results meet its design specification.The theoretical distance range has been determined after the testing according to the ISO 7176-4, and test results meet its design specification.Same
ISO7176-5The dimensions, mass has been determined after the testing according to the ISO 7176-5.The dimensions, mass has been determined after the testing according to the ISO 7176-5.Same
ISO7176-6The maximum speed, acceleration and deceleration has been determined after the testing according to the ISO 7176-6.The maximum speed, acceleration and deceleration has been determined after the testing according to the ISO 7176-6.Same
ISO7176-7The seating and wheel dimensions has been determined after the testing according to the ISO 7176-7.The seating and wheel dimensions has been determined after the testing according to the ISO 7176-7.Same
ISO7176-8All test results meet the requirements in Clause 4 of ISO 7176-8.All test results meet the requirements in Clause 4 of ISO 7176-8.Same
ISO7176-9The test results shown that the device under tests could continue to functionThe test results shown that the device under tests could continue to functionSame

Page 11

ItemSubject DevicePredicate Device (K242989)Results
according to manufacturer's specification after being subjected to each of the tests specified in Clause 8 of ISO 7176-9.according to manufacturer's specification after being subjected to each of the tests specified in Clause 8 of ISO 7176-9.
ISO7176-10The obstacle-climbing ability of device has been determined after the testing according to the ISO 7176-10.The obstacle-climbing ability of device has been determined after the testing according to the ISO 7176-10.Same
ISO7176-11The test dummies used in the testing of ISO 7176 series are meet the requirements of ISO 7176-11.The test dummies used in the testing of ISO 7176 series are meet the requirements of ISO 7176-11.Same
ISO7176-13The coefficient of friction of test surfaces has been determined, which could be used in other 7176 series tests involved.The coefficient of friction of test surfaces has been determined, which could be used in other 7176 series tests involved.Same
ISO7176-14All test results meet the requirements in Clause 7, 8, 9, 10, 11, 12, 13, 14, 15, 17 of 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.Same
ISO7176-15The test results shown that information disclosure, documentation and labelling of device meet the requirements of ISO 7176-15.The test results shown that information disclosure, documentation and labelling of device meet the requirements of ISO 7176-15.Same
ISO7176-16The performance of resistance to ignition meet the requirements of ISO 7176-16.The performance of resistance to ignition meet the requirements of ISO 7176-16.Same
ISO7176-21The EMC performance results meet the requirements of ISO 7176-21, IEC 60601-1-2:2014+A1:2020 and IEC TR 60601-4-2:2016.The EMC performance results meet the requirements of ISO 7176-21, IEC 60601-1-2:2014+A1:2020.Same
ISO7176-25The performance of batteries and charger of device meet the requirements in Clause 5 and 6 of ISO 7176-25.The performance of batteries and charger of device meet the requirements in Clause 5 and 6 of ISO 7176-25.Same

9. Conclusion

Page 12

The conclusions drawn from the nonclinical tests demonstrate that the subject device is as safe, as effective, and performs as well as the legally marketed predicate device K242989.

§ 890.3860 Powered wheelchair.

(a)
Identification. A powered wheelchair is a battery-operated device with wheels that is intended for medical purposes to provide mobility to persons restricted to a sitting position.(b)
Classification. Class II (performance standards).