K Number
K070493
Device Name
HEARTWAY POWER TILT SEATING SYSTEM POWER CHAIR, P17RT
Date Cleared
2007-03-23

(31 days)

Product Code
Regulation Number
890.3800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The device is intended for medical purposes to provide mobility to persons restricted to a seated position.
Device Description
The HEARTWAY Power Tilt Seating System Power Chair, P17RT is an indoor / outdoor electric scooter that is battery operated. It has a base with four-wheeled with a seat, armrests, and a front basket. The movement of the scooter is controlled by the rider who uses hand controls located at the top of the steering column. The device can be disassembled for transport and is provided with an onboard battery charger.
More Information

Not Found

No
The description focuses on basic mechanical and electrical components and control via hand controls, with no mention of AI/ML terms or functionalities.

No
The device is a mobility aid for individuals restricted to a seated position, not a device that provides therapy or treats a medical condition.

No
The device description clearly states its purpose is to provide mobility. There is no mention of it being used to diagnose any medical condition.

No

The device description clearly outlines a physical electric scooter with hardware components like wheels, a seat, armrests, a basket, and hand controls. It is not solely software.

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

Here's why:

  • Intended Use: The intended use is clearly stated as providing mobility to persons restricted to a seated position. This is a physical function, not a diagnostic one.
  • Device Description: The description details a power chair/scooter, which is a mobility aid. It doesn't mention any components or functions related to analyzing biological samples or providing diagnostic information.
  • Lack of IVD Indicators: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in the body
    • Providing information for the diagnosis, monitoring, or treatment of a disease or condition based on in vitro analysis.

This device falls under the category of a mobility aid or powered wheelchair/scooter, which is a medical device but not an IVD.

N/A

Intended Use / Indications for Use

The device is intended for medical purposes to provide mobility to persons restricted to a seated position.

Product codes

INI

Device Description

The HEARTWAY Power Tilt Seating System Power Chair, P17RT is an indoor / outdoor electric scooter that is battery operated. It has a base with four-wheeled with a seat, armrests, and a front basket. The movement of the scooter is controlled by the rider who uses hand controls located at the top of the steering column. The device can be disassembled for transport and is provided with an onboard battery charger.

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

EMC Report ANSI / RESNA WC/Vol.2-1998, CISPR 11: 1990, EN61000-3-2: 1995, IEC61000-3-3: 1995 (Electrically powered wheelchairs, scooters, and their chargers - requirements and test methods)

Key Metrics

Not Found

Predicate Device(s)

K050010

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 890.3800 Motorized three-wheeled vehicle.

(a)
Identification. A motorized three-wheeled vehicle is a gasoline-fueled or battery-powered device intended for medical purposes that is used for outside transportation by disabled persons.(b)
Classification. Class II (performance standards).

0

K070493

Image /page/0/Picture/1 description: The image shows a logo with the word "HEARTWAY" in bold, black letters at the bottom. Above the word is a black square with a stylized, abstract floral or butterfly-like design in white. To the left of the square, there is a small circle connected to the word "HEARTWAY" by a thin, dotted line.

RTWAY MEDICA

Image /page/0/Picture/3 description: The image shows a blurry, low-resolution line. The line appears to be slightly curved and is positioned horizontally across the bottom portion of the image. Due to the image quality, it is difficult to discern any further details about the line's texture or composition.

CERTIFIED

66 510(k) SUMMARY "

MAR 2 3 2007

February 14, 2007

Submitter's Name: HEARTWAY Medical Products Co., Ltd.

No.6, Road 25, Taichung Industrial Park, Taichung, 408, Taiwan, ROC

Date summary prepared:

Device Name:

Proprietary Name:

HEARTWAY Power Tilt Seating System Power Chair. P17RT POWERED WHEELCHAIR POWERED WHEELCHAIR, Class II, 21 CFR 890.3860

Classification Name:

Common or Usual Name:

Indications for Use:

The device is intended for medical purposes to provide mobility to persons restricted to a seated position.

Description of the device:

The HEARTWAY Power Tilt Seating System Power Chair, P17RT is an indoor / outdoor electric scooter that is battery operated. It has a base with four-wheeled with a seat, armrests, and a front basket. The movement of the scooter is controlled by the rider who uses hand controls located at the top of the steering column. The device can be disassembled for transport and is provided with an onboard battery charger.

Performance Testing:

EMC Report ANSI / RESNA WC/Vol.2-1998, CISPR 11: 1990, EN61000-3-2: 1995, IEC61000-3-3: 1995 (Electrically powered wheelchairs, scooters, and their chargers - requirements and test methods)

Legally marketed device for substantial equivalence comparison:

WU'S Powered Wheelchair MAMBO 36X (K050010)

1

Image /page/1/Picture/0 description: The image shows a logo for an organization called HEARTWAY. The logo features a stylized floral design above the word HEARTWAY. The floral design is composed of four rounded petals arranged in a circular pattern, and it is set against a square background. The word HEARTWAY is written in a bold, sans-serif font.

HEARTWAY MEDICAL PRODUCTS CO.,LTI

NO.6, ROAD 25, TAICHUNG INDUSTRIAL PARK, TAICHUNG, TAIWAN R. TEL: 886-4-23580357 (Sales) 23583232 (Rep) FAX: B86-4-23590786

Image /page/1/Picture/3 description: The image contains two logos. The first logo is the TÜV SÜD logo, which is a black oval with the letters "TÜV" in bold black letters at the top. Below the letters are smaller words that are difficult to read. The second logo is a black rectangle with rounded corners that says "ISO 9001 CERTIFICATED" in black letters.

Summary for substantial equivalence comparison:

The intended use between the two devices is the same. Mainframes materials of the two devices all meet the strength and fatigue tests and they use the same material aspects. The suspension of cross brace, footplates, armrest type, and the warranty are all the same. The back upholstery material is also the same fabric and passed the resistance ignition test. Especially the electronic systems between two devices are the same suppliers, and all passed by the UL certificated, for instance the electronic controller, batteries, and the competent switches and switching power supplies. Thus the same safety level for the two devices is assured.

The major differences existing are the overall dimensions, maximum speed, cruising range, the incline degrees, and special designed for the power tilt seating system are differences between the two devices. The overall appearance differences are not safety aspect. So the new device is substantially equivalent to the predicate devices in this aspect.

2

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 caduceus symbol, which features three swooping lines that resemble a bird in flight. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" is arranged in a circular fashion around the symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Heartway Medical Products Co., Ltd. % Republic of China Chinese-European Industrial Research Society Dr. Ke-Min Jen Official Correspondent No. 58, Fu-Chiun Street Hsin-Chu City, Taiwan Republic of China

MAR 2 3 2007

Re: K070493

Trade/Device Name: Heartway Power Tilt Seating System Power Chair, P17RT Regulation Number: 21 CFR 890.3860 Regulation Name: Powered wheelchair Regulatory Class: Class II Product Code: INI Dated: February 14, 2007 Received: February 20, 2007

Dear Dr. Jen:

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

3

Page 2 – Dr. Ke-Min Jen

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. 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) 276-0120 . Also, 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,

Mark N. Melkerson

Mai Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use

K 510 (K) Number ( If Known ):

Device Name: HEARTWAY Power Tilt Seating System Power Chair, P 1 7 R T

Indications for Use:

The device is intended for medical purposes to provide mobility to persons restricted to a sitting position.

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

510(k) Number /670453

Prescription Use

AND/OR

Over-The-Counter Use

(Part 21 CFR 801 Subpart D)

(21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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