K Number
K062660
Device Name
CATALYSY
Manufacturer
Date Cleared
2006-10-24

(47 days)

Product Code
Regulation Number
890.3850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Catalyst wheelchair is a manually operated device intended to be used as a means of mobility for persons restricted to a sitting position.
Device Description
The Catalyst is a traditional folding cross-brace wheelchair. It is made of lightweight aluminum tubing similar to what is used on existing products. The frame utilizes two cross tube sets and, when opened, nestles inside of the frame onto 4 hooks to create a box like rigid assembly. Upon the outside of this framework, and to the rear, are assembled 2 machined aluminum axle plates. Stainless steel receivers are mounted within the axle plates. Wheels of varying size and type are connected to the receivers via stainless steel axles. On the front end of the frame are assembled 2 aluminum housings. Caster forks are mounted to these housings via stainless steel axles. A variety of caster wheels and tires are then connected to the forks. Upon the top of the frame is attached a seat sling. Into the rear of the frame assembly 2 backtubes are inserted to the desired height. Backrest upholstery is affixed to the backtubes. Armrests receivers bolt onto the rear of each side frame. Individual Swing Away tubular arms are then inserted into the receivers. If flipback armrests are chosen a receiver is mounted onto the from of each side frame to catch the forward most section of the arm and the rear mounting is pivoting to allow the arm to rotate backward. Height Adjustable arms fit into a receiver that mounts onto the outside of the frame. Wheel locks mount onto the upper side frame and are adjusted so that the brake arm engages with the tire and when in the locked position prevents to the wheel from rotating. Swing Away footrests with footplates and heel loops attach at the front of the chair. There is a plug at the top of the footrest hanger that inserts into an opening at the top front of the wheelchair frame. The footrest hanger is turned 90 degrees away from the frame. Hold the latch, which is midway down the hanger, tightly against the front of the frame and rotate the footrest back towards center. The latch will engage once the footrest hanger is centered.
More Information

Not Found

No
The device description details a traditional manual wheelchair with no mention of software, sensors, or any components that would typically incorporate AI/ML. The performance studies are based on physical standards, not algorithmic performance.

No
A wheelchair is primarily a mobility aid, and its intended use is to provide transportation for individuals with restricted mobility, not to treat or cure a medical condition.

No

The provided text explicitly states that "The Catalyst wheelchair is a manually operated device intended to be used as a means of mobility for persons restricted to a sitting position." There is no mention of diagnostic functions, measurements, or analysis of medical conditions.

No

The device description clearly details a physical, manually operated wheelchair constructed from aluminum tubing and various mechanical components. There is no mention of software as a component or the primary function of the device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Catalyst Wheelchair Function: The description clearly states that the Catalyst wheelchair is a "manually operated device intended to be used as a means of mobility for persons restricted to a sitting position." It is a physical device for transportation and support, not for analyzing biological samples.

The provided information about the device's construction, testing standards, and predicate device further confirms its nature as a mobility aid, not an IVD.

N/A

Intended Use / Indications for Use

The Catalyst wheelchair is a manually operated device intended to be used as a means of mobility for persons restricted to a sitting position.

Product codes (comma separated list FDA assigned to the subject device)

IOR

Device Description

The Catalyst is a traditional folding cross-brace wheelchair. It is made of lightweight aluminum tubing similar to what is used on existing products. The frame utilizes two cross tube sets and, when opened, nestles inside of the frame onto 4 hooks to create a box like rigid assembly. Upon the outside of this framework, and to the rear, are assembled 2 machined aluminum axle plates. Stainless steel receivers are mounted within the axle plates. Wheels of varying size and type are connected to the receivers via stainless steel axles. On the front end of the frame are assembled 2 aluminum housings. Caster forks are mounted to these housings via stainless steel axles. A variety of caster wheels and tires are then connected to the forks. Upon the top of the frame is attached a seat sling. Into the rear of the frame assembly 2 backtubes are inserted to the desired height. Backrest upholstery is affixed to the backtubes. Armrests receivers bolt onto the rear of each side frame. Individual Swing Away tubular arms are then inserted into the receivers. If flipback armrests are chosen a receiver is mounted onto the from of each side frame to catch the forward most section of the arm and the rear mounting is pivoting to allow the arm to rotate backward. Height Adjustable arms fit into a receiver that mounts onto the outside of the frame. Wheel locks mount onto the upper side frame and are adjusted so that the brake arm engages with the tire and when in the locked position prevents to the wheel from rotating. Swing Away footrests with footplates and heel loops attach at the front of the chair. There is a plug at the top of the footrest hanger that inserts into an opening at the top front of the wheelchair frame. The footrest hanger is turned 90 degrees away from the frame. Hold the latch, which is midway down the hanger, tightly against the front of the frame and rotate the footrest back towards center. The latch will engage once the footrest hanger is centered.

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)

The Catalyst has been tested and found to comply with the ANSI-RESNA WC Volume 1 1998 standards sections 1, 5, 7, 8, 16 & 93.

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.

K850536

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

§ 890.3850 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

K06260

Image /page/0/Picture/1 description: The image shows the logo for KI, a company that provides furniture and architectural wall systems. The logo consists of the letters "Ki" in a bold, sans-serif font. The letters are black and are surrounded by an oval shape. The oval shape is also black and is slightly tilted to the right.

4925 Coye Drive Suite D Stevens Point, WI 54481 715-254-0991 715-254-0996 (fax) dhmunsey@kimobility.com

0C1 2 4 2006

October 13, 2006

510(k) Summary of Safety and Effectiveness

Submitter

Ki Mobility 4925 Coye Drive Suite D Stevens Point, WI 54481 USA

Telephone: (715) 254-0991 Fax: (715) 254-0996

Contact: Douglas H. Munsey

510(k) Number: K062660

Trade Name: Catalyst

Common Name: Folding Ultra-Lightweight Manual Wheelchair

Classification Name: Mechanical wheelchair

Classification: Class I

Predicate Device

The predicate device is the Quickie 2 wheelchair. K850536

Device Description

The Catalyst is a traditional folding cross-brace wheelchair. It is made of lightweight aluminum tubing similar to what is used on existing products. The frame utilizes two cross tube sets and, when opened, nestles inside of the frame onto 4 hooks to create a box like rigid assembly. Upon the outside of this framework, and to the rear, are assembled 2 machined aluminum axle plates. Stainless steel receivers are mounted within the axle plates. Wheels of varying size and type are connected to the receivers via stainless steel axles.

1

  • Page 2
    On the front end of the frame are assembled 2 aluminum housings. Caster forks are mounted to these housings via stainless steel axles. A variety of caster wheels and tires are then connected to the forks.

Upon the top of the frame is attached a seat sling. Into the rear of the frame assembly 2 backtubes are inserted to the desired height. Backrest upholstery is affixed to the backtubes.

Armrests receivers bolt onto the rear of each side frame. Individual Swing Away tubular arms are then inserted into the receivers. If flipback armrests are chosen a receiver is mounted onto the from of each side frame to catch the forward most section of the arm and the rear mounting is pivoting to allow the arm to rotate backward. Height Adjustable arms fit into a receiver that mounts onto the outside of the frame.

Wheel locks mount onto the upper side frame and are adjusted so that the brake arm engages with the tire and when in the locked position prevents to the wheel from rotating.

Swing Away footrests with footplates and heel loops attach at the front of the chair. There is a plug at the top of the footrest hanger that inserts into an opening at the top front of the wheelchair frame. The footrest hanger is turned 90 degrees away from the frame. Hold the latch, which is midway down the hanger, tightly against the front of the frame and rotate the footrest back towards center. The latch will engage once the footrest hanger is centered.

FeatureDescriptionMaterials
Intended UseThe Catalyst wheelchair is a manually operated device intended to be used as a means of mobility for persons restricted to a sitting position.
Primary Frame Materials6061-T6 Aluminum6061-T6 Aluminum
Folding MethodCollapsible Cross-brace6061-T6 Aluminum
Frame Widths14" to 20"
Overall Width20.5" to 26.5"
Seat Depths14" to 20"
Back Heights8.5" to 19"
Weight Limit220 lbs
Seat Height15" to 21"
Chair Weight23 lbs (w/o footrests)
WarrantyLifetime on frame
Armrests1. Flip Back Height Adjustable -- Desk & Full Length Arm pads
  1. Flip Back Desk & Full Length Arm pads
  2. Height Adjustable- Desk & Full Length Arm pads
  3. Tubular Swing-Away | 1,2,3 - 6061-T6 Aluminum tubing, ERW 1020 Steel upper, plastic side guard, 303 stainless steel pin, Plastic armrest pad
    • 6061-T6 Aluminum |
      | Front End Type | Swing-Away, Non-Swing Away | Welded 6061-T6 Aluminum |
      | Back Type | Straight with push handles, 8 degree bend with push handles, no push handles | 6061-T6 Aluminum |
      | Footrests Hangers | 70°, Elevating legrest | Welded 6061-T6 Aluminum |
      | Footplates | Composite, Foam, Angle Adjustable | Composite - Nylon 66 with 15% short glass.
      Foam - 6061-T6 Aluminum with PU foam cover
      Angle Adj - 6061-T6 Aluminum plate |
      | Extension Tubes | Ex. Short, Short, Medium, Long | 6061-T6 Aluminum |
      | Back Heights | 8.5" to 19" in 3 adjustable sections | |

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● Page 3

Back UpholsterySewn Nylon Parapak 420D w/ ¼" polyurethane foam battingSewn Nylon Parapak 420D w/ ¼" polyurethane foam batting
Seat UpholsterySewn Dacron Polyester Sailcloth - No fillingSewn Dacron Polyester Sailcloth - No filling
Cushion2' foam cushionManufactured and distributed by Hudson Industries. Model - Pressure
Eez 2 General Seat Cushion
Axle PlatesStandard, Curved, Amputee, OffsetMachined 6061-T6 Aluminum
AxleQuick Release or FixedMachined 303 Stainless steel
Wheel Sizes22,24,26
Wheel TypesSpoke, Composite Mag, Octopus (performance spoke)Spoke & Octopus- Machined 6061-T6 Aluminum rims, Stainless steel spokes, Machined 6061 - T6 Aluminum hub
Mag - Nylon 66 with 15% short Glass
Tire TypesPneumatic, Pneumatic w/ airless insert, Full profile Polyurethane, Low Profile Polyurethane, Iron Cap (puncture resistant), High PressureSynthetic rubber and Urethane
HandrimsAluminum, Plastic Coated, Projections6061-T6 Aluminum, anodized or covered with PVC coating
Caster Sizes4", 5", 6", 7", 8"
Caster TypesPoly, Pneumatic, Pneumatic w/ airless insertNylon 66 with 15-30% short glass
Synthetic rubber and Urethane tires
Forks Sizes4", 5", 6", 7"Machined 6061-T6 Aluminum
Fork Stem SizesStd, +3/4", +1 ½"Machined 303 Stainless steel
Wheel LocksPush to Lock, Pull To Lock, Scissor LockMachined 6061-T6 Aluminum
Anti Tips TubesLocate off of the axle to insure safety at all seat heightsCast aluminum housing with 6061-T6 tubes and plastic wheels
Where usedSolid surface
Target PopulationPersons restricted to a sitting position.
StandardsStatic Stability and Fatigue Strength: ANSI/RESNA
Wheelchair Std. Vol. 1
Sections 1, 5, 7, 8, 16 & 93
Tubing thicknesses.070" on frame except front vertical tube, which is .1". X-tube is .070.
Tube properties6061-T4 prior to welding. After welding the

Indications for Use

The Catalyst wheelchair is a manually operated device intended to be used as a means of mobility for persons restricted to a sitting position.

FeatureQuickie 2Catalyst
Intended UseThe Quickie wheelchair is a manually
operated device intended to be used as a
means of mobility for persons restrict to a
sitting position.The Catalyst wheelchair is a manually
operated device intended to be used as a
means of mobility for persons restrict to a
sitting position.
Primary Materials6061-T6 Aluminum6061-T6 Aluminum
Folding MethodCollapsible Cross-braceCollapsible Cross-brace
Frame Widths11" to 22"14" to 20"
Overall Width20.5" to 28.5"20.5" to 26.5"
Seat Depths10" to 20"14" to 20"
Back Heights8.5" to 19"8.5" to 19"
Weight Limit250 lbs (350lbs. Heavy Duty )220 lbs
Seat Height16.75" to 22.75"15" to 21"
Chair Weight27 lbs (w/o footrests)23 lbs (w/o footrests)
WarrantyLifetime on frameLifetime on frame
Armrests1. Flip Back Height Adjustable - Desk & Full Length Arm pads
  1. Flip Back
  2. Height Adjustable- Desk & Full Length Arm pads
  3. Tubular Swing-Away
  4. Adjustable Locking Flip-up
  5. Length Adjustable Locking Flip-up | 5. Flip Back Height Adjustable - Desk & Full Length Arm pads
  6. Flip Back Desk & Full Length Arm pads
  7. Height Adjustable- Desk & Full Length Arm pads
  8. Tubular Swing-Away |
    | Front End Type | Swing-Away, Non-Swing Away | Swing-Away, Non-Swing Away |
    | Back Type | Std, Angle Adjustable, Depth Adjustable | Std |
    | Footrests Hangers | 60°, 70°, 70°V, 90°, Articulating Legrest, Elevating legrest, 90° Elevating, 1-Piece | 70°, Elevating legrest |
    | Footplates | Composite, Foam, Aluminum, Angle Adjustable, Platform Flip-up, Locking Angle Adjustable | Composite, Foam, Angle Adjustable |
    | Extension Tubes | Ex Short, Short, Medium, Long | Ex Short, Short, Medium, Long |
    | Back Upholstery | Low, Medium, Tall, Adjustable, Reinforced | Low, Medium, Tall, Adjustable |
    | Axle Plates | Standard, Curved, Amputee, Offset | Standard, Curved, Amputee, Offset |
    | Wheel Sizes | 20,22,24,26 | 22,24,26 |
    | Wheel Types | Spoke, Composite Mag, Spinergy (performance spoke), One Arm Drive | Spoke, Composite Mag, Octopus (performance spoke) |
    | Tire Types | Pneumatic, Pneumatic w/ airless insert, Full profile Polyurethane, Low Profile Polyurethane, Kevlar (puncture resistant), High Pressure | Pneumatic, Pneumatic w/ airless insert, Full profile Polyurethane, Low Profile Polyurethane, Iron Cap (puncture resistant), High Pressure |
    | Handrims | Aluminum, Plastic Coated, Projections | Aluminum, Plastic Coated, Projections |
    | Caster Sizes | 4", 5", 6", 8", 8x2 | 4", 5", 6", 8" |
    | Caster Types | Poly, Semi-Pneumatic, Soft Roll, Pneumatic, Pneumatic w/ airless insert | Poly, Pneumatic, Pneumatic w/ airless insert |
    | Forks Sizes | 3", 4", 5 ¼", 6", 7", Frog Legs | 4", 5", 6", 7", Frog Legs |
    | Fork Stem Sizes | Std, +3/4", +1 ½" | Std, +3/4", +1 ½" |
    | Caster Options | Multi-Position Fork, Caster Pin Locks, Quick Release Caster Stems | NA |
    | Wheel Locks | Push to Lock, Pull To Lock, Scissor Lock, Grade Aid | Push to Lock, Pull To Lock, Low Profile |
    | Anti Tips Tubes | Yes | Yes |
    | Power Adapter | Quickie Extender | NA |
    | Where used | Solid surface. | Solid surface |
    | Target Population | Persons restricted to a sitting position. | Persons restricted to a sitting position. |
    | Standards | Unknown | Static Stability and Fatigue Strength ANSI/RESNA Wheelchair Std. Vol. 1 Sections 1, 5, 7, 8, 16 & 93 |
    | Tubing
    thicknesses | .083" on frame except front vertical tube, which is .125". X-tube is variable in thickness from .083" to .125" as it is a custom extrusion | .070" on frame except front vertical tube which is .1". X-tube is .070. |
    | Tube properties | 6061 - T6 prior to welding. Hardness | 6061-T4 prior to welding. After welding |

Technological Comparison to the Predicate Device

3

4

| . A minimal and comments of the many of the commendent of the commendent of the contribution of the country of the count | reduced to between T() and T2 after | Company of the county of the control county of possible in possible in possible aspective
the component is heat treated up to 7-6. | |
|--------------------------------------------------------------------------------------------------------------------------|-------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|--|
| | 11'
welcing. | | |

It is Ki Mobility's conclusion that the Catalyst manual wheelchair is substantially equivalent to the Quickie 2 manual wheelchair currently marketed by Sunrise Medical.

Summary of Performance Testing

The Catalyst has been tested and found to comply with the ANSI-RESNA WC Volume 1 1998 standards sections 1, 5, 7, 8, 16 & 93.

Conclusions

As stated above, Ki Mobility's conclusion is that the Catalyst wheelchair is safe, effective, complies with the appropriate medical device standards, and is substantially equivalent to the Quickie 2 wheelchair.

This 510(k) Summary of Safety and Effectiveness may be copied and submitted to interested parties as required by 21CFR807.92.

STANDARDTITLE and COMMENTS
ANSI-RESNA WC - Vol 1
-1998 Section 1Determination of static stability
ANSI-RESNA WC - Vol 1
-1998 Section 8Static, impact, and fatigue strengths
ANSI-RESNA WC- Vol 1
  • 1998 Section 16 | Determination of Flammability |
    | ANSI-RESNA WC -
    Volume 1-1998 Section 5 | Determination of Overall Dimensions, Mass and Turning Space |
    | ANSI-RESNA WC -
    Volume 1-1998 Section 7 | Measurement of seating and wheel dimensions |
    | ANSI-RESNA WC -
    Volume 1-1998 Section 93 | Maximum Overall Dimension |

5

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle or bird-like symbol with three curved lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the symbol. The text is in all capital letters and is evenly spaced around the circle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ki Mobility LLC % Mr. Douglas H. Munsey 4925 Coye Drive, Suite D Stevens Point, Wisconsin 54481

OCT 2 4 2006

Re: K062660

Trade/Device Name: Catalyst Regulation Number: 21 CFR 890.3850 Regulation Name: Mechanical Wheelchair Regulatory Class: Class I Product Code: IOR Dated: October 6. 2006 Received: October 10, 2006

Dear Mr. Munsey:

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.

6

Page 2 – Mr. Douglas H. Munsey

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 (240) 276-0120Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Kavita Buelow

Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

7

INDICATIONS FOR USE

Applicant:

Ki Mobility 4925 Coye Drive Suite D Stevens Point, WI 54481 USA

Telephone: (715) 343-1280 Fax: (715) 343-1280 510(k) Number: K062660

Device Name: Catalyst

Indications for Use:

The Catalyst wheelchair is a manually operated device intended to be used as a means of mobility for persons restricted to a sitting position.

Prescription Use (Per 21 CFR 801.116)

Over-The-Counter OR X

(Please do not write below this line -- continue on another page if needed)

bashase-Puchand

(Division Sign-Off) Concurrence of CDRH, Office of Device Evaluation (ODE) (Division of General, Restorative, and Neurological Devices

510(k) Number K062460