K Number
K043069
Device Name
HOVEROUND E100 POWER CHAIR
Manufacturer
Date Cleared
2004-12-03

(25 days)

Product Code
Regulation Number
890.3860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The intended use is to provide mobility to persons limited to a seated position.
Device Description
Not Found
More Information

Not Found

Not Found

No
The provided 510(k) summary contains no mention of AI, ML, image processing, or any other indicators typically associated with AI/ML medical devices. The intended use is purely mechanical.

Yes
The intended use statement clearly indicates the device provides mobility to individuals limited to a seated position, which is addressing a physical limitation or disability, aligning with the definition of a therapeutic device.

No
The intended use statement describes the device as providing mobility, which is a functional purpose, not a diagnostic one. There is no mention of detecting, diagnosing, or monitoring medical conditions.

Unknown

The provided 510(k) summary lacks a device description, making it impossible to determine if the device is software-only or includes hardware components.

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 seated position." This describes a device that provides physical support and movement, not a device used to examine specimens from the human body to provide information for diagnosis, monitoring, or screening.
  • Lack of IVD Characteristics: The description lacks any mention of:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Providing diagnostic information
    • Using reagents or assays
    • Any other typical characteristics of an IVD.

The device described sounds like a mobility aid, such as a wheelchair or scooter.

N/A

Intended Use / Indications for Use

The intended use is to provide mobility to persons limited to a seated position.

Product codes

ITI

Device Description

Hoveround E100 Powerchair

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)

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

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

§ 890.3860 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).

0

Image /page/0/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract image of an eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC - 3 2004

Mr. Tony DiGiovanni Director of Engineering Hoveround Corporation 2151 Whitfield Industrial Way Sarasota, Florida 34243

Re: K043069

Trade/Device Name: Hoveround E100 Powerchair Regulation Number: 21 CFR 890.3860 Regulation Name: Powered wheelchair Regulatory Class: II Product Code: ITI Dated: September 16, 2004 Received: November 8, 2004

Dear Mr. DiGiovanni:

We have reviewed your Section 510(k) premarket notification of intent to market the device We have reviewed your Section 510(x) prematice is substantially equivalent (for the indications
referenced above and have determined the device merketed in interstate referenced above and nave determined the arrased predicate devices marketed in interstate for use stated in the enclosure) to regally manced promoted in vice Amendments, or to
commerce prior to May 28, 1976, the enactment date of the Fodgral Food. Drug commerce prior to May 28, 1970, the encenture with the provisions of the Federal Food, Drug.
devices that have been reclassified in accordance with the provisions of the Unit devices that have been reclassince in accordance was rear over in interest of (PMA).
and Cosmetic Act (Act) that do not require approval of a premarket approval single of the and Cosmetic Act (Act) that do not require approval controls provisions of the Act. The You may, therefore, market the device, basjon to the one of registration, listing of
general controls provisions of the Act include requirements for annual registration, list general controls provisions of the rict networks some in the manage inst misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it If your device is classified (sec above) me existing major regulations affecting your device can
may be subject to such additional controls. Existing major may be subject to such additional controlls. Extruments of the 21, Parts 800 to 898. In addition, FDA may be found in the Code of Pouchal 11.5 concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that I DA s issuation of a studential complies with other requirements of the Act that IDA has made a dolorimiation administered by other Federal agencies. You must or any Federal Statutes and regulations adminding, but not limited to: registration and listing (2 l comply with an the Act 3 requirements, mercessed in any and ice requirements as set CFK Part 807), labeling (21 CFR Part 800); and If applicable, the clectronic fordly in the quality systems (Sections 531-542 of the Act); 21 CFR 1000-1050.

1

Page 2 - Mr. Tony DiGiovanni

This letter will allow you to begin marketing your device as described in your Section 5 10(k) I his letter will anow you to begin maileting your antial equivalence of your device to a legally premits that notification. The PDA mailing of basification 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), prease if you desire specific advice for your do need on our car as a most the regulation entitled, and contact the Office of Complance at (210) = 16 = 21 = 16 = 1 = 1 = 1 = 1 = 1 = 1 = 1 = 1 = 0 = 0 = 1 = 1 = = 5 = = = $ ( = = = $ ( = = = $ ( = = = $ ( = = = $ ( = = = $ ( = = " Misoranding by relevence to premarker nouthead.in and the Act from the Division of Small other general Information on your responsibilities and its toll-free number (800) 638-2041 or Manufacturers, International and Something://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Mark A. Milliken

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

Enclosure

2

Indications for Use

510k number (if known):

Device Name: Hoveround E100 Powerchair

The intended use is to provide mobility to persons limited Indications For Use: to a seated position.

Prescription Use
(Per 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________ (21 CFR 807 Subpart C)

(Please Do NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of General, Restorative,
and Neurological Devices
510(k) NumberK043069
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