K Number
K080288
Device Name
TRAVEL PAL FOUR WHEEL SCOOTER, MODEL MM114
Manufacturer
Date Cleared
2008-02-15

(11 days)

Product Code
Regulation Number
890.3800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The intended use of the Mega Motion, Inc, Travel Pal Four Wheel Scooter is to provide mobility to persons that have limited walking capabilities or simply those who wish to ride a scooter for transportation purposes.
Device Description
The Travel Pal Four - Wheel Scooter is a battery-operated compact scooter equipped with a digital controller. Features include an adjustable and removable molded plastic seat, a foldable tiller, one-piece solid frame, and an off board charger, designed for ultimate performance, stability and portability. Additional features include electronic regenerative / electromechanical disc brakes, and rear anti-tip wheels designed for ultimate safety.
More Information

Not Found

No
The description focuses on mechanical and electrical components, safety features, and compliance with standard mobility device testing. There is no mention of AI, ML, or any features that would typically utilize such technologies.

No.
The device is described as a scooter for transportation and mobility, not for treating a medical condition or restoring a bodily function.

No

The device description indicates it is a mobility scooter for transportation purposes, not for diagnosing medical conditions. Its intended use is to provide mobility.

No

The device description clearly outlines a physical, battery-operated scooter with various hardware components like a frame, seat, wheels, brakes, and a digital controller. The performance studies focus on the physical characteristics and safety of the scooter, not software performance.

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 with limited walking capabilities or for transportation. This is a physical aid, not a diagnostic tool.
  • Device Description: The description details a battery-operated scooter with features related to mobility, stability, and safety. There is no mention of analyzing biological samples or providing diagnostic information.
  • Lack of IVD Characteristics: 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 diagnosis, monitoring, or screening of diseases or conditions
  • Testing Standards: The listed testing standards are related to the physical performance, safety, and electromagnetic compatibility of a mobility device, not diagnostic accuracy or analytical performance.

Based on the provided information, the Mega Motion, Inc, Travel Pal Four Wheel Scooter is a mobility device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The intended use of the Mega Motion, Inc, Travel Pal Four Wheel Scooter is to provide mobility to persons that have limited walking capabilities or simply those who wish to ride a scooter for transportation purposes.

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

INI

Device Description

The Travel Pal Four - Wheel Scooter is a battery-operated compact scooter equipped with a digital controller. Features include an adjustable and removable molded plastic seat, a foldable tiller, one-piece solid frame, and an off board charger, designed for ultimate performance, stability and portability. Additional features include electronic regenerative / electromechanical disc brakes, and rear anti-tip wheels designed for ultimate safety. The Travel Pal Four Wheel Scooter is to be marketed for, but not limited to Mega Motion, Inc. providers / retailers and their consumers.

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)

Non-Clinical Testing: Compliance to applicable Testing Standards is as follows: ANSI/RESNA WC/01 Determination of Static Stability ANSI/RESNA WC/02 Determination of Dynamic Stability ANSI/RESNA WC/03 Effectiveness of Brakes ANSI/RESNA WC/04 Determination of Energy Consumption - Theoretical Range ANSI/RESNA WC/05 Overall Dimensions, Mass & Turning Space ANSI/RESNA WC/08 Test methods for Static, Impact and Fatigue Strengths ANSI/RESNA WC/09 Climatic Tests ANSI/RESNA WC/10 Obstacle Climbing ANSI/RESNA WC/14 Power and Controls ANSI/RESNA WC/15 Documentation and Labeling ANSI/RESNA WC Vol. 2-1998 Section 21 - Requirements and Test Methods for Electromagnetic Compatibility. ANSI/RESNA WC/93 Maximum Overall Dimensions CAL 117 - Flammability Testing
Discussion of Clinical Testing Performed: N/A

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.

K060697

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

§ 890.3800 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

Image /page/0/Picture/0 description: The image shows a handwritten string of characters, "K080288". The characters are written in a dark ink on a white background. The handwriting is somewhat stylized, with the "K" having a distinct shape and the "8" being slightly elongated.

Exhibit 1

Image /page/0/Picture/2 description: The image shows the text "Mega Motion, Inc." in a stylized, three-dimensional font. The text is black and appears to be slightly tilted. The font has a unique design with sharp edges and a textured appearance, giving it a bold and dynamic look.

ducts for Better Livl

Travel Pal 4 Wheel Scooter 510(k) Summary

Submitter's Name & Address:

Name of Device and Proprietary Name:

Contact Person:

Date Prepared:

Mega Motion, Inc. 957 Wood Street Old Forge, Pa. 18518 Phone: (888) 415-1200 Facsimile: (888) 415-1210

Tom Amico Official Correspondent

01-29-08

Travel Pal Four Wheel Scooter / Mega Motion

Four - Wheel Power Scooter

Vehicle, Motorized 3 -Wheeled

INI

Device Description:

Product Code:

Classification Name:

Common or Usual Name:

The Travel Pal Four - Wheel Scooter is a battery-operated compact scooter equipped with a digital controller. Features include an adjustable and removable molded plastic seat, a foldable tiller, one-piece solid frame, and an off board charger, designed for ultimate performance, stability and portability. Additional features include electronic regenerative / electromechanical disc brakes, and rear anti-tip wheels designed for ultimate safety.

The Travel Pal Four Wheel Scooter is to be marketed for, but not limited to Mega Motion, Inc. providers / retailers and their consumers.

Comparison to Predicate Device:

The Travel Pal Four Wheel Scooter is a four-wheel version of the Mega Motion, Travel Pal Three Wheel Scooter (K060697) having similar components to justify substantial equivalence. The additional front wheel increases stability, however, components and performance characteristics are identical to the three wheel model, and achieve the same intended use function.

1

Image /page/1/Picture/0 description: The image shows the words "Mega Motion, Inc." in a stylized, three-dimensional font. The text is black and appears to be slightly tilted to the right. The font gives the impression of depth and movement, which aligns with the name "Mega Motion".

Products for Better Living

Intended Use:

The intended use of the Mega Motion, Inc, Travel Pal Four Wheel Scooter is to provide mobility to persons that have limited walking capabilities or simply those who wish to ride a scooter for transportation purposes.

Non-Clinical Testing:

Compliance to applicable Testing Standards is as follows: ANSI/RESNA WC/01 Determination of Static Stability ANSI/RESNA WC/02 Determination of Dynamic Stability ANSI/RESNA WC/03 Effectiveness of Brakes ANSI/RESNA WC/04 Determination of Energy Consumption - Theoretical Range ANSI/RESNA WC/05 Overall Dimensions, Mass & Turning Space ANSI/RESNA WC/08 Test methods for Static, Impact and Fatigue Strengths ANSI/RESNA WC/09 Climatic Tests ANSI/RESNA WC/10 Obstacle Climbing ANSI/RESNA WC/14 Power and Controls ANSI/RESNA WC/15 Documentation and Labeling ANSI/RESNA WC Vol. 2-1998 Section 21 - Requirements and Test Methods for Electromagnetic Compatibility. ANSI/RESNA WC/93 Maximum Overall Dimensions CAL 117 - Flammability Testing

Discussion of Clinical Testing Performed:

N/A

Conclusions:

The Travel Pal Four Wheel Scooter has the same intended use and similar technological characteristics as the Travel Pal Three Wheel Scooter (K060697), moreover, the non-clinical testing and the predicate comparisons demonstrate that any differences in their technological characteristics do not raise any new questions of safety or effectiveness. Thus, the Travel Pal Four Wheel Scooter is substantially equivalent to the Travel Pal Three Wheel Scooter predicate device. The Travel Pal Four Wheel Scooter has passed all the necessary testing procedures and is considered to be safe for user operation.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo features a stylized eagle with its wings spread, symbolizing protection and strength. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle, indicating the department's name and national affiliation. The logo is presented in black and white.

Public Health Service

FEB 1 5 2008

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mega Motion, Inc. c/o Mr. Tom Amico 957 Wood Street Old Forge, PA 18518

Re: K080288

Trade/Device Name: Travel Pal - Four Wheel Scooter Regulation Number: 21 CFR 890.3800 Regulation Name: Motorized three-wheeled vehicle Regulatory Class: Class II Product Code: INI Dated: January 29, 2008 Received: February 4, 2008

Dear Mr. Amico:

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. Tom Amico

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (240) 276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at toll-free number (800) 638-2041 or (240) 276-3150 or the Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Mark M. Millman

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

Enclosure

4

Indications for Use

510(k) Number (if known): K

Device Name: Travel Pal – Four Wheel { cooter

Indications for Use:

The intended use of the Mega Motion Inc., Travel Pal Four Wheel Scooter, is to provide mobility to persons that have limit id walking capabilities or simply those who wish to ride a scooter for transportation purposes.

Prescription UseXAND / OROver-The-Counter UseX
(Part 21 CFR 801 Subpart D)(21 CFR 807 Subpart C)

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

Concurrence of CDRH, Official (Division Sign-Off) Division Device Evaluation (ODE)

Division of General, Restorative, and Neurological Devices

510(k) Number 11080288