K Number
K024030
Device Name
MILLENNIUM SERIES MANUAL WHEELCHAIRS
Manufacturer
Date Cleared
2002-12-12

(6 days)

Product Code
Regulation Number
890.3850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Millennium Series Mechanical Wheelchair provides enhanced mobility to physically challenged persons limited to a sitting position.
Device Description
The Millennium Series Wheelchair is manually operated mechanical wheelchair. It is designed to be durable with folding frame. The range of sizes and configurations are available to accommodate the needs of each user. The wheelchair is suitable to provide mobility to user for both indoors and outdoors with firm surface that is free of climbing obstacles. The Millennium Series Mechanical Wheelchair consists of typical components found on most manual wheelchair. The wheelchair consists of metal frame constructed of round steel tubing that is welded, seat and back upholsteries, removable footrests/legrests, front casters and rear wheels. The upholstery fabric meets the California Technical Bulletin CAL 117 Standard for flame retardancy.
More Information

Not Found

No
The device description and intended use clearly describe a manually operated mechanical wheelchair with no mention of AI or ML capabilities.

No
The device is a mechanical wheelchair designed for mobility, not for treating or diagnosing a medical condition.

No

Explanation: The device is described as a mechanical wheelchair designed to provide enhanced mobility. There is no mention of it being used for diagnosis, data collection for diagnostic purposes, or analyzing medical conditions.

No

The device description clearly states it is a "manually operated mechanical wheelchair" consisting of physical components like a metal frame, upholstery, footrests, casters, and wheels. There is no mention of software as the primary or sole component.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to provide mobility to physically challenged persons. This is a mechanical function, not a diagnostic one.
  • Device Description: The description details the physical components of a wheelchair, such as the frame, upholstery, wheels, and footrests. It does not mention any components or processes related to analyzing biological samples or providing diagnostic information.
  • Lack of IVD Indicators: The document explicitly states "Not Found" for mentions of image processing, AI/DNN/ML, input imaging modality, anatomical site, patient age range, intended user/care setting, and details about training/test sets for performance evaluation. These are common elements found in descriptions of IVD devices.
  • Performance Studies: The performance studies mentioned are related to the mechanical function and safety of the wheelchair, not diagnostic accuracy.
  • Predicate Device: The predicate device is another mechanical wheelchair, further confirming the device's classification.

An In Vitro Diagnostic device is used to examine specimens from the human body, such as blood, urine, or tissue, to provide information for the diagnosis, treatment, or prevention of disease. This wheelchair does not perform any such function.

N/A

Intended Use / Indications for Use

The Millennium Series Mechanical Wheelchair provides enhanced mobility to physically challenged persons limited to a sitting position.

Product codes

IOR

Device Description

The Millennium Series Wheelchair is manually operated mechanical wheelchair. It is designed to be durable with folding frame. The range of sizes and configurations are available to accommodate the needs of each user. The wheelchair is suitable to provide mobility to user for both indoors and outdoors with firm surface that is free of climbing obstacles.

The Millennium Series Mechanical Wheelchair consists of typical components found on most manual wheelchair. The wheelchair consists of metal frame constructed of round steel tubing that is welded, seat and back upholsteries, removable footrests/legrests, front casters and rear wheels. The upholstery fabric meets the California Technical Bulletin CAL 117 Standard for flame retardancy.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Required tests for mechanical wheelchair listed in the Guidance Document for the Preparation of Premarket Notification [510(k)] Applications for Mechanical and Powered Wheelchairs, and Motorized Three Wheeled Vehicles, July 1995, were conducted and the results are included in the subject 510(k) submission.

Comparative performance testing and clinical evaluations were not submitted as part of this 510(k).

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K935398

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc)

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

DEC 1 2 2002

510(k) SUMMARY

Submitter's name:Evermed Corporation
Submitter's address:4999 E. La Palma Ave.
Anaheim, CA 92807
Submitter's phone number:(714) 777-9997
Date summary prepared:December 04, 2002
Proprietary name:Millennium Series Mechanical Wheelchairs
Common or usual name:Wheelchair
Classification name:Wheelchair, mechanical
Predicate device:Tracer Series Mechanical Wheelchairs manufactured by
Invacare Corp. (K935398)

Intend use of device:

The Millennium Series Mechanical Wheelchair provides enhanced mobility to physically challenged persons limited to a sitting position.

Technological Characteristics and Substantial Equivalence:

Device description:

The Millennium Series Wheelchair is manually operated mechanical wheelchair. It is designed to be durable with folding frame. The range of sizes and configurations are available to accommodate the needs of each user. The wheelchair is suitable to provide mobility to user for both indoors and outdoors with firm surface that is free of climbing obstacles.

The Millennium Series Mechanical Wheelchair consists of typical components found on most manual wheelchair. The wheelchair consists of metal frame constructed of round steel tubing that is welded, seat and back upholsteries, removable footrests/legrests, front casters and rear wheels. The upholstery fabric meets the California Technical Bulletin CAL 117 Standard for flame retardancy.

1

The users manual of Millennium Series Mechanical Wheelchair provides information on warnings, cautions and operation instruction of the wheelchair.

Substantial equivalence:

The Millennum Series Mechanical Wheelchairs is substantially equivalent to the Tracer Series Mechanical Wheelchair manufactured by Invacre Corp. (K935398). They both have the same technological characteristics and intended use of the device.

Testing conducted:

Required tests for mechanical wheelchair listed in the Guidance Document for the Preparation of Premarket Notification [510(k)] Applications for Mechanical and Powered Wheelchairs, and Motorized Three Wheeled Vehicles, July 1995, were conducted and the results are included in the subject 510(k) submission.

Performance testing:

Comparative performance testing and clinical evaluations were not submitted as part of this 510(k).

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes forming its body and head. The eagle is encircled by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA". The text is arranged in a circular fashion around the eagle.

Public Health Service

ood and Drug Administratio 9200 Corporate Boulevard Rockville MD 20850

Evermed Corporation Calvin Chang 4999 East La Palma Avenue Anaheim, California 92807

Re: K024030

Trade/Device Name: Millennium Series Mechanical Wheelchairs Regulation Number: 890.3850 Regulation Name: Wheelchair, mechanical Regulatory Class: Class I Product Code: IOR Dated: December 4, 2002 Received: December 6, 2002

Dear Mr. Chang:

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

3

Page 2 - Mr. Calvin Chang

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.

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), 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.qov/cdrh/dsma/dsmamain.html

Sincerely yours.

R. Mark A. Millman

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

Enclosure

4

Indications for Use Statement

510(k) Number (if known): __ K O2 4030

Device name: Millennium Series Mechanical Wheelchairs

Indications for Use:

Indications for Use: The Millennium Series Mechanical Wheelchair provides enhanced mobility to physically challenged persons limited to a sitting position.

for Mark N Millers

Division Sign-Off) Division of General, Restorative and Neurological Devices Koz4030

10(k) Number --

(Please do not write below this line)

Concurrence of CDRH, Office of Device Evaluation (ODE)


Prescription Use (Per 21 CFR 801.109) · OR

Over-The-Counter Use

510(k) Notification - Millennium Series Mechancial Wheelchairs