K Number
K192618
Device Name
e-Motion M25
Manufacturer
Date Cleared
2020-11-02

(406 days)

Product Code
Regulation Number
890.3860
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The e-motion M25 is a Power Assist Wheelchair Conversion Kit and suitable for the manual wheelchair users who are limited in their field of activities because of their physical conditions. The device can expand their field of activities by assisting their wheelchair operating force.

Device Description

The e-motion-M25 is a medical device for active wheelchair users who are reliant on a wheelchair as a result of their disability. The subject device e-motion is an additional drive for wheelchairs that is attached to a manual wheelchair, converting it into an electrically driven and thus significantly increasing the wheelchair user's mobility and flexibility.

To extend functionality an optional remote control (ECS) and a Smartphone App is available.

The user interacts with the e-motion M25 via push-rim that triggers the assistive power drive.

The main parts of the drive unit are as follows:

  • Pushrim-wheels including a brushless DC-motor .
  • Control Electronic for the motor and wireless interface for communication with ECS and . smartphone App
  • . Integrated lithium ion battery pack with battery management system
  • Magnetic charger socket for the integrated battery (Easy Connect) for connecting the battery charger
  • Quick-release axle for attaching and detaching the drive unit to wheelchair-frame .

The main function of the APP are as follows:

  • Status information (Battery, Speed)
  • Live display of error messages ●
  • Recording of tours
  • Selection of preset driving profiles ●
  • ECS-Funtionality (extra charge , details see below) ●
  • Wheelchair navigation (extra charge)
  • Enhance maximum speed (extra charge) ●
  • . Cruise Mode (extra charge)
  • Activation flight mode ●
  • System information ●
  • Error logfile (password protected)
  • Setting auto shut-off time (password protected) ●
  • Inidivial adjustment of driving parameters (password protected) ●

The main function of the ECS are as follows:

  • Drive-Mode
  • Settings ●
  • Diagnostics ●

To charge the battery of the drive unit a battery charger is available. Main attributes:

  • . Multi-range charger 100-240 VAC, 50-60 Hz
  • . Automatic charging and switch-off mechanism
  • Indicating status and mains ●
AI/ML Overview

The provided text is a 510(k) Summary for the e-motion M25, a power assist wheelchair conversion kit. It describes the device, its intended use, comparison to predicate devices, and conformity with recognized standards. However, it explicitly states:

"Clinical tests were not conducted."

This means that the document does not contain information about a study that proves the device meets specific acceptance criteria based on clinical performance. The focus of this 510(k) submission is on demonstrating substantial equivalence to predicate devices through non-clinical testing and adherence to recognized standards.

Therefore, I cannot provide the requested information regarding:

  1. A table of acceptance criteria and the reported device performance: This would be based on clinical study outcomes, which are absent.
  2. Sample size used for the test set and the data provenance: No clinical test set data is available.
  3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable as no clinical test set with ground truth was established from expert consensus.
  4. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable.
  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: This is a medical imaging-specific study type and not relevant to a powered wheelchair accessory.
  6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable, as this is hardware, not an AI algorithm.
  7. The type of ground truth used (expert concensus, pathology, outcomes data, etc): Not applicable.
  8. The sample size for the training set: Not applicable, as this is hardware, not an AI algorithm requiring a training set.
  9. How the ground truth for the training set was established: Not applicable.

The document emphasizes non-clinical tests to demonstrate safety and efficiency, including mechanical, electrical, and biological safety, as well as performance aspects, all in conformity with recognized standards (e.g., ISO 7176 series for wheelchairs). The "acceptance criteria" here would be meeting the specifications outlined in those standards and demonstrating substantial equivalence to the predicate devices.

In summary, the provided document does not describe a clinical study or a study directly proving the device meets acceptance criteria through clinical performance data.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left, there is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Alber GmbH % Michael Vent Official Correspondent BEO MedConsulting Berlin GmbH Helmholtzstr. 2-9 Berlin. 10587 Germany

Re: K192618

Trade/Device Name: e-Motion M25 Regulation Number: 21 CFR 890.3860 Regulation Name: Powered Wheelchair Regulatory Class: Class II Product Code: ITI Dated: July 28, 2020 Received: August 6, 2020

Dear Michael Vent:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and probibitions 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 Part 807); labeling (21 CFR Part

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801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance)and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Heather Dean, PhD Assistant Director, Acute Injury Devices Team DHT5B: Division of Neuromodulation and Physical Medicine Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

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Indications for Use

510(k) Number (if known) K192618

Device Name e-motion M25

Indications for Use (Describe)

The e-motion M25 is a Power Assist Wheelchair Conversion Kit and suitable for the manual wheelchair users who are limited in their field of activities because of their physical conditions. The device can expand their field of activities by assisting their wheelchair operating force.

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) SUMMARY

Applicant:Alber GmbHVor dem Weißen Stein 1472461 Albstadt, GermanyPhone: +49 7432 2006-0Fax: +49 7432 2006-299Email: info@alber.de
Contact Person:Mr Michael VentPhone: +49 30 318 045 30Email: m.vent@beoberlin.de
Device:Proprietary: e-motion M25Common Name: Power Assist Conversion Kit for Manual WheelchairsClassification Name: Powered wheelchairDevice Class: II, 21 CFR 890.3860Classification Panel: Physical MedicineProduct Code: ITI
Prepared Date:25th October 2020

Predicate Device Information:

We claim substantial equivalence for the subject device "e-motion M25" in indications for use, design and function to the primary predicate device twion M24 (K151717) and in wireless technology to the secondary predicate device SMOOV O10 (K192016), both PDs by Alber GmbH.

Indications for Use:

The e-motion M25 is a Power Assist Wheelchair Conversion Kit and suitable for the manual wheelchair users who are limited in their field of activities because of their physical conditions. The device can expand their field of activities by assisting their wheelchair operating force.

Intended Use:

The e-motion M25 is a medical device for active wheelchair users with a user weight of 150 kgs and who are reliant on a wheelchair as a result of their disability. The e-motion M25 replaces that are attached to a manual wheelchair, converting it into an electrically driven wheelchair and thus significantly increasing the wheelchair user's mobility and flexibility.

The e-motion M25 must always be used, transported, maintained and serviced strictly according to the manufacturer's instructions. The e-motion M25 must only be attached to and operated with wheelchairs that are listed in Alber's mounting database. The selection is made by the specialist dealer or by Alber itself.

Device Description:

The e-motion-M25 is a medical device for active wheelchair users who are reliant on a wheelchair as a result of their disability. The subject device e-motion is an additional drive for wheelchairs that is attached to a manual wheelchair, converting it into an electrically driven and thus significantly increasing the wheelchair user's mobility and flexibility.

To extend functionality an optional remote control (ECS) and a Smartphone App is available.

The user interacts with the e-motion M25 via push-rim that triggers the assistive power drive.

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The main parts of the drive unit are as follows:

  • Pushrim-wheels including a brushless DC-motor .
  • Control Electronic for the motor and wireless interface for communication with ECS and . smartphone App
  • . Integrated lithium ion battery pack with battery management system
  • Magnetic charger socket for the integrated battery (Easy Connect) for connecting the battery charger
  • Quick-release axle for attaching and detaching the drive unit to wheelchair-frame .

The main function of the APP are as follows:

  • Status information (Battery, Speed)
  • Live display of error messages ●
  • Recording of tours
  • Selection of preset driving profiles ●
  • ECS-Funtionality (extra charge , details see below) ●
  • Wheelchair navigation (extra charge)
  • Enhance maximum speed (extra charge) ●
  • . Cruise Mode (extra charge)
  • Activation flight mode ●
  • System information ●
  • Error logfile (password protected)
  • Setting auto shut-off time (password protected) ●
  • Inidivial adjustment of driving parameters (password protected) ●

The main function of the ECS are as follows:

  • Drive-Mode
  • Settings ●
  • Diagnostics ●

To charge the battery of the drive unit a battery charger is available. Main attributes:

  • . Multi-range charger 100-240 VAC, 50-60 Hz
  • . Automatic charging and switch-off mechanism
  • Indicating status and mains ●

Power Wheel

Range:up to 25 km as per ISO 7176 - 4
Nominal gradient:16% [9°] - also note the limit values specified by thewheelchair manufacturer.
Maximum downhill grade:Depends on the user and weight of the wheelchair. Also notethe limit values specified by the wheelchair manufacturer
Cornering radius (minimum):the limit values specified by the wheelchair manufacturer
Maximum speed:Standard: 6 km/h to 8.5 km/h
Rated power of engine:2x80W
Operating voltage:36.5 VDC
Operating temperature:-25° C to +50° C
Storage temperature:-40° C to +65° C
Weight of person:max. 150 kg
Max. permissible overall weight:180 kg

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Protection rating:IPx4
Battery pack
Cell type:Lithium-ion 10ICR19/66-2
Rated operating capacity:36.5 V
Rated capacity:Ah
Rated energy:Wh
Charging temperature:0° C to +45° C
Operating temperature:-25° C to +50° C
Protection rating:IPX4
ECS
Cell type:AAA
Rated voltage:3x1.5 VDC
Rated capacity:750 ... 1000mAh
Charger
Model:PS 4820
Mains voltage:100...240 VAC, 50...60 Hz
Power output:96 W
Output voltage:2x48 VDC
Output current:2x1.0 A
Protection rating:IP 31
Ambient temperature:Operation 0...40 °C
Storage-40...+65 °C
Humidity:Operation 10...80%

Weight of components

Storage

Storage

Air pressure:

Wheel (including battery): ECS (including battery): Battery charger: Total weight:

Operation 10...80% 5...95% Operation 500...1060 hPa 700...1060 hPa

15.6 kg

7.8 kg

0.25 kg

1.2 kg

Radio Frequency Wireless Technology Power Unit

Type of wireless technologyEEE 802.15.4 (BLE & Classic)
FCC compliance:CFR47, Part 15
FCC ID:A8TBM78ABCDEFGH
Wireless Coexistence Compliance:ANSI C63.27-2017, separation distance ≥0.25m
EMC ComplianceISO 7176-21:2009
RF frequency range:2.402 GHz to 2.480 GHz
RF maximum output power:1.5dBm
Wireless operating range:10m / class 2
Wireless functions:Speed, Emergency stop, Operating mode (on/standby)

ECS

Type of wireless technology:

IEEE 802.15.4 (Bluetooth Low Energy)

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FCC compliance:CFR47, Part 15
FCC ID:ZAT26M1
Wireless Coexistence Compliance:ANSI C63.27-2017, separation distance ≥0.25m
EMC Compliance:ISO 7176-21:2009
Wireless RF frequency range:2.402 GHz to 2.480 GHz
Wireless RF maximum output power:5dBm
Wireless operating range:10m / class 2
Wireless functions:Speed, Emergency stop, Operating mode (on/standby)

Cybersecurity assessment/mitigation, including SweynTooth vulnerabilities evaluation

SweynTooth affects the wireless communication technology known as Bluetooth Low Energy (BLE). BLE allows two devices to "pair" and exchange information to perform their intended functions while preserving battery life. The technology can be found in medical devices as well as other devices, such as consumer wearables. SweynTooth may allow an unauthorized user to wirelessly crash the device (crash), stop it from working (deadlock), or access device functions normally only available to the authorized user (bypass security).

These vulnerabilities cannot be exploited remotely and all of these attacks require that the device Bluetooth is enabled and that the attacker is within close physical proximity (i.e., within Bluetooth range) of the device.

Our preventive actions to avoid harm: All wireless communication is encrypted.

In the unlikely event a successful attack, the e-motion M25 in the:

  • Normal drive mode An attack during this mode has no influence on driving behaviour as the e-motion ● M25 acts in this mode independent from any wireless devices.
  • Cruise Mode - The motor driving support stops in order to enter the safe state of the system (-no more auxiliary power provision). Unintended movements are impossible. In any cases the connection is lost; you are always able to react to avoid dangerous situations by moving away from the danger zone by propelling the system like an e-motion M25 in the normal drive mode.
  • Remote Mode - (Wheelchair is un-occupied - see App instruction for use): The motor driving support stops in order to enter the safe state of the system (=no more auxiliary power provision). Unintended movements are impossible.
SUBJECT DEVICEe-motion M25(K192618)PRIMARY PREDICATEDEVICETwion M24 or T24(K151717)SECONDARYPREDICATE DEVICESMOOV 010(K192016)
Indication For UseThe "e-motion-M25" is amedical device for activewheelchair users who arereliant on a wheelchair as aresult of their disability. Thesubject device e-motion is anadditional drive forwheelchairs that is attachedto a manual wheelchair, byamplifying the user's pushthe device significantlyincreases the wheelchairuser's mobility andflexibility.The e-motion M25 offerswireless connectivity.The twion M24 WheelchairDrive System is a PowerWheelchair Conversion Kitthat adds a power assist to amanual wheelchair, thereby,turning a manual wheelchairinto a power-assistedwheelchair. It is a push-and-brake assist working in bothdirections. The intended useis to provide mobility topersons limited to a seatedposition that are capable ofoperating a powered andmanual wheelchair.The SMOOV 010 drive unitis attached and detached torigid wheelchairs via abracket or alternatively to afoldable wheelchair with anoptional adapter. TheSMOOV 010 converts theuser s manual wheelchair,when needed, in a partlymotorized wheelchair toextend the mobility andflexibility of the wheelchairuser. To extend functionalityan optional Smartphone Appis available. The smoov add-on drive offers the same
Certain features can becontrolled by a smartphoneapp via Bluetoothconnectivity.The twion doesn't offerwireless connectivity.wireless connectivity as thee-motion M25. Certainfeatures can be controlled bya smartphone app viaBluetooth connectivity.
Observe the permissibleconditions of use of thewheelchair to which theM25 is attached. In addition to observingthe information providedabout the M25, it is alsoimperative to observe theinformation provided bythe wheelchairmanufacturer (e.g.maximum gradeability,maximum permissibleheight of obstacles,maximum user weight,maximum speed, etc.).The lowest values alwaysapply. Any limits regarding theoperation of yourwheelchair (e.g.maximum gradeability,maximum permissibleheight of obstacles,maximum user weightetc.) must also beobserved when using theM25. The e-motion M25 mustonly be operated attemperatures between -25°C and +50 °C.Therefore, do not exposethe smoov to any heatsources (such as intensesunlight) as this maycause surfaces to reachhigh temperatures. The e-motion M25 isdesigned for indoor andoutdoor use (e.g. solidpavement), avoid usingthe wheelchair on softground (e.g. loosechipping, sand, mud,snow, ice or deeppuddles).Observe the permissibleconditions of use of thewheelchair to which theT24 is attached. In addition to observingthe information providedabout the T24, it is alsoimperative to observe theObserve the permissibleconditions of use of thewheelchair to which thesmoov is attached. In addition to observingthe information providedabout the smoov, it is alsoimperative to observe theinformation provided bythe wheelchairmanufacturer (e.g.maximum gradeability,maximum permissibleheight of obstacles,maximum user weight,maximum speed, etc.).The lowest values alwaysapply. Any limits regarding theoperation of yourwheelchair (e.g.maximum gradeability,maximum permissibleheight of obstacles,maximum user weightetc.) must also beobserved when using thesmoov. The SMOOV O10 mustonly be operated attemperatures between -25°C and +50 °C.Therefore, do not exposethe smoov to any heatsources (such as intensesunlight) as this maycause surfaces to reachhigh temperatures. The SMOOV O10 isdesigned for light outdooruse (e.g. solid pavement),avoid using thewheelchair on soft ground(e.g. loose chipping, sand,mud, snow, ice or deeppuddles).
Permissible conditionsof use/locations ofoperationType Environment ofUse
Market SegmentActiveActiveActive

Comparison to the Predicate Device

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Introduced to themarketspring 20202014spring 2019
WheelchairCompatibilitymanually propelled wheelchairs with rigis or folding frames Quick-release-axlemanually propelled wheelchairs with rigis or folding frames Quick-release-axleRigid W/C frames: Universal brackets on the axle tube Folding frames: adapter axle required
Available WheelchairWheel-Diameters(inch)22", 24", 25"24"22" - 26"
Device WheelDimensions (inch)22", 24", 25"24"Diameter: 6.4"Width: 3,9"
Max. user weight (kg)150kg120kg140
System weight (kg)15.6kg12kg7,95kg
Nominal Power (Watt)2x80W2x60W250W
Max. assisted Speed(km/h)6...8.5km/h6...10km/h6 / 10km/h
Nominal Range (km)25km15km20km
Assist LevelsPush-force supportPush-force supportSpeed adjustments steplessvia clickwheel
Control UnitPushrim & ECS &Smratphone AppPushrimBluetooth clickwheelattached to W/C
Adjustment of driveparametersAcceleration in 2 modes:indoor, outdoor , TrainingModenoneacceleration and speeddepending on the angle ofthe drive wheel, 4programmable drivingmodes. STOP pushbutton
Smartphone App &ECS for end userApp Cockpit (drive-, tour-data) Navigation Drive-Mode (Cruise/Speed) Remote ECS (find below) ECS Pairing Reset Turn on/off Drive-Mode (indoor / outdoor) Training-Mode Roll-Back-Prevention Sleep-ModeAndroid and iOSFree features:Cockpit, battery capacity,range, tour computer viaGPS, 4 programmabledriving modes, On/Off rearlight, worldwide servicecontact details, firmwareupdates over the air, failureand warningschargeable: Navigation

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Predicate devices and the subject device are designed to active wheelchair users who are physically and mentally able to safely control a manual wheelchair in typical situations, including inclines, even manually.

Both SD and PDs are provided as accessory to standard manual wheelchairs in order to provide assistive power for the user. Both devices, PD1 and SD are similar in their technological and performance characretistics The PD2 includs the wireless controller-components. It was also demonstrated that their technological characteristics are equivilant.

The devices are meant for Over-the-counter sale and do not require any set-up or training besides the instructions on the labeling.

Even the wording to describe the indications for use and the intended use slightly differ, the devices are considered substantially equivalent concerning these aspects.

The subject device is in conformity with the technical and performance requirements of the following FDA recognized Standards and Guidance Documents:

StandardNameRecognition#
ISO 10993-1:2009Biological Evaluation Of Medical Devices - Part 1: Evaluation And Testing Within A RiskManagement Process2-220
ISO 10993-5:2009Biological Evaluation Of Medical Devices - Part 5: Tests For In Vitro Cytotoxicity2-245
ISO 10993-10:2010Biological Evaluation Of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization2-174
IEC 60335-2-29:2016Safety of household and similar electrical appliances Part 2-29: Particular requirements forbattery chargers-
IEC 62133:2012Secondary Cells And Batteries Containing Alkaline Or Other Non-Acid Electrolytes - SafetyRequirements For Portable Sealed Secondary Cells, And For Batteries Made From Them, ForUse In Portable Applications [Including: Corrigendum 1 (2013)]19-13
UN 38.3Recommendations of the TRANSPORT OF DANGEROUS GOODS, Manual of Test andCriteria, Part III, Lithium metal and lithium ion batteries-
ISO 7176-1: 2014Wheelchairs - Part 1: Determination Of Static Stability16-195
ISO 7176-2: 2017Wheelchairs - Part 2:Determination Of Dynamic Stability Of Electrically Powered Wheelchairs16-202
ISO 7176-3: 2012Wheelchairs - Part 3: Determination Of Effectiveness Of Brakes16-192
ISO 7176-4: 2008Wheelchairs - Part 4: Energy Consumption Of Electric Wheelchairs And Scooters ForDetermination Of Theoretical Distance Range16-162
ISO 7176-5: 2008Wheelchairs - Part 5: Determination Of Overall Dimensions, Mass And Manoeuvring Space16-163
ISO 7176-6: 2018Wheelchairs - Part 6: Determination Of Maximum Speed, Acceleration And Deceleration OfElectric Wheelchairs16-204
ISO 7176-8: 2014Wheelchairs - Part 8: Requirements And Test Methods For Static, Impact And Fatigue Strengths16-197
ISO 7176-9: 2009Wheelchairs - Part 9: Climatic Tests For Electric Wheelchairs16-167
ISO 7176-10: 2008Wheelchairs - Part 10: Determination Of Obstacle-Climbing Ability Of Electrically PoweredWheelchairs16-164
ISO 7176-11: 2012Wheelchairs - Part 11: Test Dummies16-190
ISO 7176-13: 1989Wheelchairs - Part 13: Determination Of Coefficient Of Friction Of Test Surfaces16-25
ISO 7176-14: 2008Wheelchairs - Part 14: Power And Control Systems For Electrically Powered Wheelchairs AndScooters - Requirements And Test Methods16-165
ISO 7176-15: 1996Wheelchairs - Part 15: Requirements For Information Disclosure, Documentation And Labeling16-27
ISO 7176-21: 2009Wheelchairs - Part 21: Requirements And Test Methods For Electromagnetic Compatibility OfElectrically Powered Wheelchairs And Scooters, And Battery Chargers16-166
ISO 14971: 2007Medical Devices - Application Of Risk Management To Medical Devices5-40
ANSI C63.27-2017American National Standard For Evaluation Of Wireless Coexistence19-29
Guidance Document for the Preparation of Premarket Notification [510k)] Applications for Mechanical and PoweredWheelchairs, and Motorized Three-Wheeled Vehicles
Guidance for Industry and Food and Drug Administration Staff - Radio Frequency Wireless Technology in Medical Devices
Guidance for Industry and Food and Drug Administration Staff - Information to Support a Claim of ElectromagneticCompatibility (EMC) of Electrically Powered Medical Devices

We declare the conformity with the recognized standards:

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Guidance for Industry and Food and Drug Administration Staff - Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process"

Non-clinical tests

Non-clinical tests according to the above listed recognized standards were performed to demonstrate safety and efficiency of the subject device. The testing included mechanical, electrical and biological safety as well as performance and other relevant aspects.

Clinical tests

Clinical tests were not conducted.

Quality Assurance and Manufacturing Controls:

Alber GmbH operates to certified quality managementsystem according to EN ISO 13485.

Conclusion:

The conclusions drawn from the nonclinical tests including a benefit-risk assessment demonstrate that the device is as safe, as effective, and performs as well as the legally marketed device.

§ 890.3860 Powered wheelchair.

(a)
Identification. A powered wheelchair is a battery-operated device with wheels that is intended for medical purposes to provide mobility to persons restricted to a sitting position.(b)
Classification. Class II (performance standards).