K Number
K171256
Device Name
Quingo Flyte Mobility Scooter
Date Cleared
2017-06-08

(41 days)

Product Code
Regulation Number
890.3800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Quingo Flyte is an electric scooter designed to provide transportation to those with mobility limitations such as the disabled or elderly.
Device Description
The Quingo Flyte Mobility Scooter is a battery powered indoor scooter. The vehicle uses a 5 (Five) wheel system comprised of 3 main wheels with two additional wheels to provide additional safety, stability and improved turning ability. Attached to the wheelbase are a padded seat, steering tiller, bars and electronic controls which allow the user to properly direct and control the vehicle. As the vehicle is battery powered a charging unit is included. To assist with loading into vehicles for transport an aluminium railing system which fits into most vehicles is provided along with a directly wired electronic control so that no disassembly is required and no heavy lifting by the user is needed.
More Information

Not Found

No
The description focuses on mechanical and electronic controls for mobility, with no mention of AI or ML capabilities.

No.
The device is described as an electric scooter designed for transportation, not for treating or preventing a disease or condition.

No

The Quingo Flyte is described as an electric scooter for transportation, not for diagnosing medical conditions. The "Intended Use" clearly states its purpose is to provide transportation to individuals with mobility limitations.

No

The device description clearly outlines a physical, battery-powered electric scooter with wheels, a seat, steering controls, and a charging unit. It is a hardware device designed for transportation.

Based on the provided information, the Quingo Flyte is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is clearly stated as providing transportation to individuals with mobility limitations. This is a mechanical function, not a diagnostic one.
  • Device Description: The description details a battery-powered scooter with wheels, a seat, steering, and controls. 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 specimens (blood, urine, tissue, etc.)
    • Detecting or measuring substances in biological samples
    • Providing information for the diagnosis, monitoring, or treatment of a disease or condition based on in vitro analysis.
  • Testing and Standards: The testing mentioned (ISO 7176 standards) are related to wheelchairs and mobility devices, not IVD performance.

The Quingo Flyte is a mobility aid, falling under the category of durable medical equipment, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Quingo Flyte is an electric scooter designed to provide transportation to those with mobility limitations such as the disabled or elderly.

Product codes

INI

Device Description

The Quingo Flyte Mobility Scooter is a battery powered indoor scooter. The vehicle uses a 5 (Five) wheel system comprised of 3 main wheels with two additional wheels to provide additional safety, stability and improved turning ability. Attached to the wheelbase are a padded seat, steering tiller, bars and electronic controls which allow the user to properly direct and control the vehicle.

As the vehicle is battery powered a charging unit is included. To assist with loading into vehicles for transport an aluminium railing system which fits into most vehicles is provided along with a directly wired electronic control so that no disassembly is required and no heavy lifting by the user is needed.

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

Comparative performance testing and clinical evaluations were not submitted as part of this 510(k).

Key Metrics

Not Found

Predicate Device(s)

K072630

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).

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

June 8, 2017

Agile Distributors LLC Steven Mahaffy Corporate Counsel 2283 East Zion Way Chandler, Arizona 85249

Re: K171256

Trade/Device Name: Quingo Flyte Mobility Scooter Regulation Number: 21 CFR 890.3800 Regulation Name: Motorized Three-Wheeled Vehicle Regulatory Class: Class II Product Code: INI Dated: April 21, 2017 Received: April 28, 2017

Dear Mr. Mahaffy:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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

1

Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely.

Michael J. Hoffmann -S

for

Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K171256

Device Name Quingo Flyte Mobility Scooter

Indications for Use (Describe)

The Quingo Flyte is an electric scooter designed to provide transportation to those with mobility limitations such as the disabled or elderly.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

|X | Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) EXECUTIVE SUMMARY

| Submitter's Name: | Agile Distributors LLC
A Company incorporated in Arizona (Company Number L-1956314-4)
2283 East Zion Way,
Chandler,
AZ 85249
Tel: (480) 6597180 |
|------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Name: | Steven C Mahaffy |
| Date Summary Prepared: | 15th April 2015 (Modified 2nd August 2016) |

Device Names:

Proprietary Name:Quingo Flyte Mobility Scooter
Model Identity:S551 (Flyte Configuration)
Common or Usual Name:Electric Scooter
Classification:Classification. Class II (performance standards)
Device Code:INI
Classification Name:Motorized Three-wheel Vehicle (890.3800)

Predicate Device:

The legally marketed predicate device for substantial equivalence comparison is:

  • . Kymco EQ 30, manufactured and distributed by Kwang Yang Motor Company Ltd., and cleared under 501(k) K072630

Description of the Device:

The Quingo Flyte Mobility Scooter is a battery powered indoor scooter. The vehicle uses a 5 (Five) wheel system comprised of 3 main wheels with two additional wheels to provide additional safety, stability and improved turning ability. Attached to the wheelbase are a padded seat, steering tiller, bars and electronic controls which allow the user to properly direct and control the vehicle.

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As the vehicle is battery powered a charging unit is included. To assist with loading into vehicles for transport an aluminium railing system which fits into most vehicles is provided along with a directly wired electronic control so that no disassembly is required and no heavy lifting by the user is needed.

Intended Use of Device:

The Quingo Flyte is an electric scooter designed to provide transportation to those with mobility limitations such as the disabled or elderly.

Substantial Equivalence

The Intended Use of the predicate device (Kymco ForU EQ30) is 'intended for an indoor/outdoor scooter that provides transportation for disabled or elderly persons limited to a seated position'.

In terms of intended function and general operation this device is very similar to the Quingo Flyte with only minor technical differences that do not present any new questions regarding safe and effective use. Where the units do differ is the provision with the Quingo Flyte of a specific ramp accessory. We believe the provision of this ramp accessory, specifically designed for this unit to maximize safe loading and unloading into vehicles, is a safer option than untested generic ramp accessories that can be purchased for the Predicate and other devices on the open market without any safety or performance testing or FDA approval. The Quingo Flyte, while using the ramp accessory has been safety tested and the results provided with this application. Therefore, we believe the Quingo Flyte is substantially equivalent to this predicate and other legally marketed mobility scooters currently in distribution. See the product comparison table of vehicle features below for further details.

Device & Predicate Device(s):K171256K072630
ManufacturerAdvanced Vehicle Concepts LtdKwang Yang Motor Company Ltd
ModelQuingo Flyte Mobility ScooterKymco Super4 4U (EQ30BB)
FrameworkFoldableRigid
Maximum User Weight350lbs330lbs
Length1110mm1250
Width590mm560mm

Product Comparison Table.

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Height1050mm1250mm
Maximum Speed6.4 Kph/ 4 mph8 Kph/ 4.7 mph
Range Per Charge37 Km/ 23 Miles or 54 Km/ 34 miles37km or 23.1 miles
Wheel Size177.8mm (7") & 254mm (10")255mm (10")
Wheel TypeSolid & PneumaticPneumatic
Heaviest PartN/A (Vehicle Loads as One Unit)53lbs/24 Kg
Total Weight Inc. Batteries256.3lbs185.7lbs
Batteries22A x 4 / 22A x 636A
Range per Charge23 miles (4 batteries)
37 miles (6 batteries)23.1 mi
Charger240 VAC input, 24V 6 Amp
DC outputHP 24V, 5A on-board
Seat Height515mm756mm
Lights FittedYesYes
Maximum Slope - Degrees
(Rear Tip)610
Turning Radius1020mm (40.2 inches)1565mm (61.6 inches)
Rated Motor Power250 Watt, 2 Pole350 Watt
Input Voltage24V24V
Brake SystemIntelligent Regenerative
Electromagnetic Brake & Hand BrakeIntelligent Regenerative
Electromagnetic Brake & Hand Brake
Minimum braking distance -
Forward40 in48.8 in
Minimum braking distance -
Reverse40 inUnknown
Ground clearance while
occupied4.72 Inches or 120mm2 Inches or 51mm
ControllerRhino 2 DS 90KYSA 70
Rear Wheel DriveSealed Transaxle Direct DriveSealed Transaxle Direct Drive
Battery TypeSealed gelLead Acid
Anti Tip WheelsYes - Powered Anti-Tip - Anti Curb Trap
WheelsYes
SuspensionNoRear only
Operation ModeThumb Operated Potentiometer
Throttle ControlThumb Operated Potentiometer
Throttle Control
Battery ChargerAutomatic Off Board SAAutomatic Off Board SA
Adaptive FootplatesYesNo
ArmrestYes - AdjustableYes
TillerYes FoldableYes Foldable
Front Wheels7"x2.5" Solid tyres10"x5" Pneumatic tyres
Rear Wheels10"x5" Pneumatic tyres10"x5" Pneumatic tyres
Warning HornYesYes
Speed ControlSingle Mode - Variable (By
potentiometer)Single Mode - Variable (By
potentiometer)
Braking Distance Full Speed
(Forward and Backward)40"48.8"
BumpersYes. Steel Tube with Spring SuspensionYes. Steel Tube
Maximum Curb Height3"3.14"
Battery Indicator LevelYesYes
Docking Station
Speed up/down the ramp1 mphN/A
Overall weight83.6 lbs.N/A
Side ramp weight (each side)27.8 lbs.N/A
Center ramp weight6 lbs.N/A
Frame weight (including side
support arms)22 lbs.N/A
Overall length (with supports)53.2 inN/A
Folded length48.5 inN/A
Overall width30.3 inN/A
Height7.5 inN/A

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Technological Characteristics:

This device is very similar to the predicate device and other electric scooters that have been cleared under 510(k) in that it comprises of a single drive shaft, regenerative automatic brakes, steering tiller with electronic controls and fire resistant padded seating. The unit, as with most models can be disassembled for transport but in the case of this particular model, accessories in the form of an aluminium rail loading system that can be mounted into certain vehicle types and a physically wired (not wireless) remote control is provided to enable safe loading of the model without any disassembly or lifting.

Testing Conducted:

Tests listed in the Guidance Document for the Preparation of Premarket Notification [510(k)] Applications for Mechanical and Scooters, and Motorized Three Wheeled Vehicles, July 1995, were conducted and the results in the submission. The unit was tested in accordance with ISO 7176 Parts 1-11, 13, 14, 16, 19, 21, 22, 25 & 26 and was found compliant.

Performance testing:

Comparative performance testing and clinical evaluations were not submitted as part of this 510(k).

Conclusion:

Review and evaluation of predicate device data and information provided in this 510(k) submission lead us to conclude that this device is substantially equivalent to the predicate device and that neither the device nor supplied accessories create any new safety or performance concerns.