K Number
K132855
Date Cleared
2014-08-29

(351 days)

Product Code
Regulation Number
890.3800
Panel
PM
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

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

Device Description

The HEARTWAY Power Mobility Scooter. S15 is an indoor / outdoor powered scooter that is battery operated. It has a base with four-wheeled with a seat, and armrests. The movement of the powered 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 external battery recharger.

AI/ML Overview

The provided documents describe a 510(k) premarket notification for the HEARTWAY Power Mobility Scooter, S15. This is a submission for substantial equivalence to a predicate device, not a study performing a clinical trial to establish acceptance criteria for a new medical device technology. As such, the information typically requested in your prompt (e.g., sample sizes for test/training sets, expert qualifications, MRMC studies, standalone algorithm performance, types of ground truth for a clinical study) are not present in these documents.

Instead, the documents demonstrate substantial equivalence by comparing the proposed device (S15) to a legally marketed predicate device (HEARTWAY Power Mobility Scooter, S12, K092650) based on performance testing to recognized standards and direct comparison of specifications.

Here's a breakdown of the relevant information from the provided text:

1. A table of acceptance criteria and the reported device performance:

The document doesn't present explicit "acceptance criteria" in the sense of predefined thresholds for a study. Instead, it relies on demonstrating compliance with recognized performance standards and direct specification comparison to a predicate device. The performance is "reported" through the completion of tests against these standards and the assertion of "same" or minor, justifiable differences in specifications.

Performance Characteristic/StandardPredicate Device (S12) PerformanceSubject Device (S15) PerformanceEquivalence Rationale/Comment
Intended UseFor medical purposes to provide mobility to persons restricted to a sitting position.For medical purposes to provide mobility to persons restricted to a seated position.Same
FrameFoldedFoldedSame
Frame MaterialCarbon Steel PipeCarbon Steel PipeSame
Overall Length1400 mm / 55.1"1400 mm / 55.1"Same (Implied, as no difference noted in the comparison table)
Overall Width700 mm / 27.5"700 mm / 27.5"Same (Implied, as no difference noted in the comparison table)
Overall Height1360 mm / 53.5"1360 mm / 53.5"Same (Implied, as no difference noted in the comparison table)
Seat Width620 mm / 24.5"SameSame
Seat Height820 mm / 32.25"SameSame
Weight Limit160 kgs / 352 lbsSameSame
Maximum Speed9.6 km/h (6.0 mile/h)SameSame
Batteries (Quantity, Type, Range)Two, 50 Ah 12VDC, 40km / 25 milesSameSame
Motor24V DC, 700 WSameSame
Rear Wheels13" x 3.5" solid x 2SameSame
Casters13" x 5.0" solid x 2SameSame
FootplatesABSSameSame
SuspensionCross braceSameSame
Incline10 degreesSameSame
Turning Radius1,280 mm / 50.4"SameSame
Ground Clearance75 mm / 2.9"SameSame
Kerb Climbing Ability80 mm / 3.1"SameSame
Back UpholsteryFabricSameSame (passed resistance ignition test ISO 7176-16)
Armrest TypesFlip-backwardSameSame
Wheel LockPush-to-LockSameSame
Warranty3 years: Main frame; 1 year: Controller / gear motor / batteries (w/o exhaustive and wear parts)SameSame
Patient Contacting MaterialsSeat PVC, Hand grip PVC, Seat belt PVCSameSame
BiocompatibilityISO 10993-1, ISO 10993-5SameSame
Wheelchair Weight (with batteries)132 kgs (291 lbs)136 kgs (299 lbs)Difference of 4 kgs (approx. 3.03%). Deemed not to significantly change the center of weight, thus maintaining safety and effectiveness.
Electronics ControllerRHINO DS112K DriveRHINO DS120 DriveBoth controllers are TUV certified.
Recharger Model24VDC 4C24080A (UL E201162 certified)24VDC 4F24050 (UL E241359 certified)Both rechargers are UL certified.
EMC ReportANSI / RESNA WC/Vol.2: 2009, CISPR 11: 2004+A2:2006, EN61000-4-2: 2008, IEC61000-4-3: 2006, IEC61000-4-8: 2001 (Electrically powered wheelchairs, scooters, and their chargers - requirements and test methods)(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with [...] ANSI / RESNA WC 2, Section 21 for the EMC test")Both devices demonstrate compliance with relevant EMC standards.
Static StabilityISO 7176-1: 1999(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant stability standards.
Dynamic StabilityISO 7176-2: 2001(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant stability standards.
Brakes EffectivenessISO 7176-3: 2012(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant braking effectiveness standards.
Energy ConsumptionISO 7176-4: 2008(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant energy consumption standards.
Overall Dimensions, Mass, Manoeuvring SpaceISO 7176-5: 2008(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant dimensional standards.
Max Speed, Acceleration, DecelerationISO 7176-6: 2001(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant speed and acceleration standards.
Seating DimensionsISO 7176-7: 1998(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant seating dimension standards.
Static, Impact, Fatigue StrengthISO 7176-8: 1998(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant strength standards.
Climatic TestsISO 7176-9: 2009(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant climatic test standards.
Obstacle-climbing AbilityISO 7176-10: 2008(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant obstacle-climbing standards.
Test DummiesISO 7176-11: 2012(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant test dummy standards.
Coefficient of FrictionISO 7176-13: 1989(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant friction standards.
Power and Control SystemISO 7176-14: 2008(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant power and control system standards.
Information Disclosure, Documentation, LabelingISO 7176-15: 1996(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant information standards.
Resistance to Ignition of Upholstered PartsISO 7176-16: 2012(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant ignition resistance standards.
Electromagnetic CompatibilityISO 7176-21: 2009(Not explicitly listed for S15, but stated that "Two devices also completed the performance tests in accordance with ISO 7176 series standards")Both devices demonstrate compliance with relevant EMC standards.

2. Sample size used for the test set and the data provenance:

  • Sample Size for Test Set: Not applicable. This is a device comparison based on compliance with standards and specifications, not a clinical trial with a "test set" of patients or data. The testing mentioned refers to performance testing on the physical device itself.
  • Data Provenance: The documents do not specify the provenance (e.g., country of origin, retrospective/prospective) of any clinical data because none appears to have been collected for this 510(k) submission. The performance testing was conducted according to international standards (ISO, ANSI/RESNA, CISPR, EN, IEC).

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

  • Number of Experts/Qualifications: Not applicable. Ground truth for clinical data is not a concept applied in this 510(k) submission for a power mobility scooter. The "ground truth" here is compliance with engineering and safety standards.

4. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

  • Adjudication Method: Not applicable. This refers to consensus among human readers in a clinical study, which is not relevant to this submission.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

  • MRMC Study/Effect Size: No. This type of study is relevant to AI-powered diagnostics or image analysis, not a power mobility scooter.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

  • Standalone Performance: No. This is not an AI/algorithm-based device.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):

  • Type of Ground Truth: For the purpose of this 510(k) submission, the "ground truth" is established by adherence to international and national standards for medical devices and wheelchairs, such as the ISO 7176 series ("Wheelchairs") and ANSI/RESNA WC/Vol.2: 2009 (Electrically powered wheelchairs, scooters), as well as certifications for components (TUV, UL). These standards define performance requirements and test methods.

8. The sample size for the training set:

  • Sample Size for Training Set: Not applicable. This is not an AI/machine learning device that requires a training set.

9. How the ground truth for the training set was established:

  • Ground Truth for Training Set: Not applicable.

§ 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).