K Number
K021866
Device Name
KARMA 800 SERIES MANUAL WHEELCHAIR
Date Cleared
2002-06-14

(8 days)

Product Code
Regulation Number
890.3850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
THE INTENDED USE OF THE KARMA 800 SERIES MANUAL WHEELCHAIR IS TO PROVIDE MOBILITY TO PERSONS LIMITED TO A SITTING POSITION.
Device Description
The Karma 800 Series Manual Wheelchair is a user propelled mechanical wheelchair. Its intended function and use is to provide mobility to persons limited to a sitting position. The product is designed to be a lightweight, everyday wheelchair for both indoor use. It is a folding, or non-rigid type of wheelchair. The product consist primarily of an aluminum allov frame with cross braces, large rear wheels with hand rims for propelling the chair, and smaller front pivoting casters for steering and turning. The frame is constructed of round, aluminum alloy tubing that is welded. The seat-to-floor heights are adjustable via dual rear axle positions. The slung fabric seat and back meets the requirements of California 117 specifications for flame retardancy. Swing back armrest and swing away footrest are standard features.
More Information

Not Found

No
The device description and intended use clearly describe a standard manual wheelchair with no mention of AI or ML components.

No.
The device description clearly states it is a "manual wheelchair" and its intended use is to "provide mobility". It does not claim to treat, prevent, or diagnose any disease or condition.

No
The device description clearly states its intended use is to "provide mobility to persons limited to a sitting position," which is a functional purpose, not a diagnostic one. There is no mention of the device being used to identify or analyze diseases or conditions.

No

The device description clearly outlines a physical, mechanical wheelchair with an aluminum frame, wheels, and other hardware components. There is no mention of software as the primary or sole component.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "provide mobility to persons limited to a sitting position." This is a mechanical function related to physical support and movement, not the diagnosis of disease or other conditions through the examination of specimens derived from the human body.
  • Device Description: The description details a mechanical wheelchair with components like a frame, wheels, casters, seat, and back. These are all physical components for mobility, not for analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of:
    • Analyzing biological specimens (blood, urine, tissue, etc.)
    • Detecting or measuring substances in the body
    • Providing diagnostic information

Therefore, the Karma 800 Series Manual Wheelchair is a medical device, but it falls under a different category than In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The intended use of the Karma 800 Series Manual Wheelchair is to provide mobility to persons limited to a sitting position.

Product codes

IOR

Device Description

The Karma 800 Series Manual Wheelchair is a user propelled mechanical wheelchair. Its intended function and use is to provide mobility to persons limited to a sitting position.

The product is designed to be a lightweight, everyday wheelchair for both indoor use. It is a folding, or non-rigid type of wheelchair. The product consist primarily of an aluminum allov frame with cross braces, large rear wheels with hand rims for propelling the chair, and smaller front pivoting casters for steering and turning.

The frame is constructed of round, aluminum alloy tubing that is welded. The seat-to-floor heights are adjustable via dual rear axle positions. The slung fabric seat and back meets the requirements of California 117 specifications for flame retardancy. Swing back armrest and swing away footrest are standard features.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Not Found

Key Metrics

Not Found

Predicate Device(s)

K950195

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 890.3850 Mechanical wheelchair.

(a)
Identification. A mechanical wheelchair is a manually operated device with wheels that is intended for medical purposes to provide mobility to persons restricted to a sitting position.(b)
Classification. Class I (general controls).

0

-PH2

JUN 1 4 2002

510(k) Summary

Karma 800 Series Manual Wheelchair

Intended Use

The intended use of the Karma 800 Series Manual Wheelchair is to provide mobility to persons limited to a sitting position.

Technological Description

Device Description:

The Karma 800 Series Manual Wheelchair is a user propelled mechanical wheelchair. Its intended function and use is to provide mobility to persons limited to a sitting position.

The product is designed to be a lightweight, everyday wheelchair for both indoor use. It is a folding, or non-rigid type of wheelchair. The product consist primarily of an aluminum allov frame with cross braces, large rear wheels with hand rims for propelling the chair, and smaller front pivoting casters for steering and turning.

The frame is constructed of round, aluminum alloy tubing that is welded. The seat-to-floor heights are adjustable via dual rear axle positions. The slung fabric seat and back meets the requirements of California 117 specifications for flame retardancy. Swing back armrest and swing away footrest are standard features.

Substantial Equivalence

The product that is substantially equivalent to the Karma 800 Series Manual Wheelchair is Karma Manual Folding Wheelchair (K950195).

Each of these products is a manually operated, manual mechanical wheelchair with the same intended function and use which is to provide mobility to persons limited to a seated position. All products consist basically of an aluminum alloy folding frame with braces to support the wheelchair, large rear wheels, and smaller front pivoting casters for turning and steering.

Performance Data

NA

1

510(k) Summary

Vestil Manufacturing Corporation's 510(k) Premarket Notification Karma 800 Series Manual Wheelchair

Submitter's Name, Address, Telephone, Fax Number, and Contact Name

Karma Medical Products, Co., LTD. No. 2363 Section 2, Da-Shiue Road Min-Hsiung Shiang Chia-Yi Hsien, 621. Taiwan Phone: 886 5 206 6688 Fax: 886 5 206 7788

Manufacturer's Name, Address, Telephone, and Fax Number

Same as Above

Name of Device Karma 800 Series Manual Wheelchair

Name of Applicant/Submission Correspondent, Address, Phone, Fax Number, and Contact Name

Vestil Manufacturing Corporation 900 Growth Parkway Angola, IN 46703 Phone 260.668.5677 Fax: 260.668.8967 Rick Michael - rick@vestil.com

Date Prepared

Mav 2002

Common or Usual Name

Manual Wheelchair

Classification

Wheelchair, Mechanical 89IOR

Predicate Device

The product that is substantially equivalent to the Karma 800 Series Manual Wheelchair is the Karm: Manual Folding Wheelchair (K950195).

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing right, stacked on top of each other. The profiles are connected by a flowing, ribbon-like shape at the bottom.

Public Health Service

'JUN 1 4 2002

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Rick Michael North America Sales Manager Vestil Manufacturing Company 900 Growth Parkway Angola, IN 46703

Re: K021866

Trade Name: Karma 800 Series Regulatory Number: 890.3850 Regulatory Name: Mechanical wheelchair Regulatory Class: I Product Code: IOR Dated: June 6, 2002 Received: June 6, 2002

Dear Mr. Michael:

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 (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. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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.

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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

3

Page 2 -- Mr. Rick Michael

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours.

Mark N Mellheusen

Celia Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Page

510(k) Number (if known):

Device Name: KARMA 800 SERIES

Indications For Use:

THE INTENDED USE OF THE KARMA 800 SERIES MANUAL WHEELCHAIR IS TO PROVIDE MOBILITY TO PERSONS LIMITED TO A SITTING POSITION.

FDA/CDRH/ODE/DMC

JUN 6 '02
1 35 PM

RECEIVED

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

ાન

Over-The-Counter Use √

(Optional Format 1-2-96)

Mark N. Wilkerson

on-()ff) vision of General, Restorative and Neurological Devices

510(k) Number K021866