K Number
K220698
Manufacturer
Date Cleared
2023-02-16

(344 days)

Product Code
Regulation Number
890.3850
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Panthera mechanical wheelchairs are manually operated multifunctional wheelchairs designed for indoor / outdoor use and intended to provide mobility to persons that have the capability of operating a mechanical wheelchair.

Device Description

Panthera mechanical wheelchairs are of a spoke and hub design and made of chrome-molly steel to construct the chassis (frame and back rest), except for the X model which uses carbon fiber reinforced composite (CFRC) instead of chrome-molly steel. All Panthera mechanical wheelchairs have rubber tires, while the casters are of a semi-solid polymer-based design. The seat cushions and backs are made from flame retardant polyurethane coated polyester fabric, over a foam core. The primary differences in the models of wheelchairs are in their dimensions, gross weight carrying capacities, adjustability features, wheels, accessories and hardware options.

AI/ML Overview

This document describes the Panthera AB mechanical wheelchairs (Bambino 3, S3, S3 Swing, U3, U3 Light, and X) and their substantial equivalence to predicate devices (Bambino, S2, S2 Swing, U2, and U2 Light).
The following information addresses the acceptance criteria and the study that proves the device meets the acceptance criteria.

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

The acceptance criteria for the Panthera mechanical wheelchairs are based on various ISO and EN standards related to the safety and performance of wheelchairs and biocompatibility. The reported device performance indicates that the design inputs and performance specifications for the modified subject devices have been met.

Standard/Test CategoryAcceptance Criteria (based on standard requirements)Reported Device Performance
BiocompatibilityISO 10993-1Met
CytotoxicityISO 10993-5Met
Chemical CharacterizationISO 10993-18Met
Toxicological Risk AssessmentISO 10993-17Met
Wheelchair Performance TestingEN 12183 (Manual Wheelchairs. Requirements and Test Methods), which includes:Met
- Static StabilityISO 7176-1Met
- BrakesISO 7176-3Met
- Static, Impact, Fatigue StrengthsISO 7176-8Met
- Test DummiesISO 7176-11Met
- Information, Documentation, LabelingISO 7176-15Met
- CrashISO 7176-19Met
- Set-up ProceduresISO 7176-22Met
Resistance to Ignition of Postural Support DevicesISO 7176-16Met
Dimensional VerificationPanthera internal specificationsMet
Risk AnalysisISO 14971Met
Quality System Regulation21 CFR Part 820 (including Design Controls)Met
Labeling21 CFR Part 801Met
Unique Device Identification21 CFR Part 830Met
FDA Guidance Document for Premarket Notification [510(k)] Applications for Mechanical and Powered Wheelchairs, and Motorized Three-Wheeled VehiclesComplianceMet

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document does not explicitly state the sample sizes for the individual non-clinical tests. However, it indicates that "Panthera submitted their devices for the following non-clinical tests," implying that the tests were performed on the subject devices. The provenance of the data is from Panthera AB, a Swedish company, but the testing would have been conducted by certified labs to the specified international standards. These tests are prospective in nature, as they involve testing the actual devices to verify their compliance with the standards.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This section is not applicable to the provided document. The device in question is a mechanical wheelchair, and the performance evaluation relies on non-clinical, objective engineering and safety standards (e.g., strength, stability, biocompatibility). It does not involve expert interpretation or subjective assessment typically seen in medical imaging or diagnostic devices where "ground truth" is established by experts. The "ground truth" here is the adherence to established international and national standards.

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

This is not applicable. Adjudication methods like 2+1 or 3+1 are typically used in clinical studies or studies involving expert review of subjective data to resolve disagreements. The non-clinical performance testing of a mechanical wheelchair against objective engineering standards does not involve such adjudication.

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 not applicable. The device is a mechanical wheelchair and does not involve AI assistance or human readers.

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

This is not applicable. The device is a mechanical wheelchair and does not involve an algorithm.

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

For this device, the "ground truth" for performance is established by universally recognized and validated international and national standards for medical devices, specifically mechanical wheelchairs, and biocompatibility. This includes:

  • ISO and EN Standards: Such as ISO 10993 series (biocompatibility), EN 12183, and ISO 7176 series (wheelchair performance).
  • Regulatory Compliance: Adherence to FDA regulations like 21 CFR Part 820 (Quality System Regulation), 21 CFR Part 801 (Labeling), and 21 CFR Part 830 (Unique Device Identification).
  • Manufacturer's Internal Specifications: For dimensional verification.

These standards define objective, measurable criteria that the device must meet to ensure safety and effectiveness.

8. The sample size for the training set

This is not applicable. There is no "training set" in the context of non-clinical performance testing for a mechanical wheelchair. The device's compliance is assessed against predefined engineering and safety standards.

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

This is not applicable, as there is no training set for this type of device evaluation.

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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 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.

February 16, 2023

Panthera AB % Stuart Goldman Sr. Consultant RA/QA Emergo Global Consulting, LLC 2500 Bee Cave Road, Building 1, Suite 300 Austin, Texas 78746

Re: K220698

Trade/Device Name: Bambino 3, S3 and S3 Swing, U3 and U3 Light, X Regulation Number: 21 CFR 890.3850 Regulation Name: Mechanical Wheelchair Regulatory Class: Class I, reserved Product Code: IOR Dated: July 7, 2022 Received: July 11, 2022

Dear Stuart Goldman:

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 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

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requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device 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 (OS) 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 mediation-emitting products, including information about labeling regulations, please see Device Advice (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,

Julia E. Slocomb -S Julia E. 2023.02.16 15:08:16 Slocomb -S -05'00'

for Tushar Bansal, PhD

Acting 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

Enclosure

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Indications for Use

510(k) Number (if known) K220698

Device Name Bambino 3, S3, S3 Swing, U3, U3 Light and X

Indications for Use (Describe)

Panthera mechanical wheelchairs are manually operated multifunctional wheelchairs designed for indoor / outdoor use and intended to provide mobility to persons that have the capability of operating a mechanical wheelchair.

Type of Use (Select one or both, as applicable)
× Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary Panthera Mechanical Wheelchairs (Bambino 3, S3, S3 Swing, U3, U3 Light and X)

1. Submission Sponsor

Panthera AB Gunnebogatan 26 SE-163 53 Spanga Stockholm, Sweden +46-8-7615040-73869 Fredrik Skantz, VP/General Manager

2. Submission Correspondent

Emergo Global Consulting, LLC 2500 Bee Cave Road Building 1, Suite 300 Austin, TX 78746, USA +1.512.327.9997 Stuart R. Goldman, Sr. Consultant, RA/QA

3. Date Prepared

February 15, 2023

4. Device Identification

Trade/Proprietary Name:Bambino 3, S3, S3 Swing, U3, U3 Light and X
Common/Usual Name:Wheelchair
Classification Name:Mechanical wheelchair
Regulation Number:890.3850
Product Code:IOR
Class:1
Classification Panel:Physical Medicine

5. Legally Marketed Predicate Device

Device name:Bambino, S2, S2 Swing, U2, U2 Light
510(k) number:K083231
Manufacturer:Panthera AB

The subject devices are modified versions of the predicate devices have not been subject to a design related recall. The following reference device is also included in this submission:

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Trade Name:APEX Manual Wheelchair
510(k) No.:K161425
Manufacturer:Motion Composites

6. Indication for Use

Panthera mechanical wheelchairs are manually operated multifunctional wheelchairs designed for indoor / outdoor use and intended to provide mobility to persons that have the capability of operating a mechanical wheelchair.

Device Description 7.

Panthera mechanical wheelchairs are of a spoke and hub design and made of chrome-molly steel to construct the chassis (frame and back rest), except for the X model which uses carbon fiber reinforced composite (CFRC) instead of chrome-molly steel. All Panthera mechanical wheelchairs have rubber tires, while the casters are of a semi-solid polymer-based design. The seat cushions and backs are made from flame retardant polyurethane coated polyester fabric, over a foam core. The primary differences in the models of wheelchairs are in their dimensions, gross weight carrying capacities, adjustability features, wheels, accessories and hardware options.

8. Device Modifications

The minor modifications made to the predicate Bambino, S2, S2 Swing, U2 and U2 Light model wheelchairs to create the subject Bambino 3, S3, S3 Swing, U3 and U3 Light model wheelchairs are primarily related to dimensional changes, as well as minor modifications to some of the components and accessories used on the wheelchairs. These modifications were undertaken in order to make these devices more modular in their design, construction and features than the predicate devices. In addition, the X model wheelchair was added as a product line extension of the U2 Light model, as the X model uses CFRC instead of chrome-molly steel to construct the frame chassis.

g. Substantial Equivalence Discussion

The following tables compare the modified subject devices to the unmodified predicate devices with respect to their intended uses, indications for use and technological characteristics and forms the basis for the determination of substantial equivalence. The subject devices do not raise any new questions of safety or effectiveness compared to the predicate devices.

AttributesPredicate Devices(K083231)Subject DevicesComparison
ManufacturerPanthera ABPanthera ABSame
ModelsBambino, S2, S2 Swing, U2, U2LightBambino 3, S3, S3 Swing, U3, U3Light and XEquivalent. Model X isa product lineextension of the U2light model.
Table 5-1 - Comparison of Characteristics of Panthera Subject and Predicate Devices

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AttributesPredicate Devices(K083231)Subject DevicesComparison
Intended UseProvide mobility to personsrestricted to a sitting position.Provide mobility to personsrestricted to a sitting position.Same
Indications forUsePanthera mechanical wheelchairsare manually operatedmultifunctional wheelchairsdesigned for indoor / outdoor useand intended to provide mobilityto persons that have the capabilityof operating a mechanicalwheelchair.Panthera mechanical wheelchairsare manually operatedmultifunctional wheelchairsdesigned for indoor / outdoor useand intended to provide mobilityto persons that have the capabilityof operating a mechanicalwheelchair.Same
Mode ofOperationUser propelled, manual,mechanical wheelchair.User propelled, manual,mechanical wheelchair.Same
ModelsBambino (G356) vs. Bambino 3 (G517)
Frame Width(cm)52-6155-64Similar
Seat Depth(cm)23-3025-30Similar
Back RestAngle (°)12-(-7.7)11.5-(-7.5)Similar
Back RestHeight (cm)17-25 (standard)27-35 (optional)20-28 (standard)27-35 (optional)SimilarSame
Footrest Angle(°)103100Similar
Footrest Width(cm)29.5-38.532.5-38.5Similar
Total Weight(kg)8.1-8.89.8-10.4Similar
Castors(inches)54.73Similar
ModelsS2 (G348) vs. S3 (G548)
Back RestAngle (°)11.5-(-7.3)17.3-(-5)Similar
Footrest Width(cm)46-6446-63Similar
Total Weight(kg)8.3-8.88.2-8.8Similar
AttributesPredicate Devices(K083231)Subject DevicesComparison
Castors(inches)54.73Similar
ModelsS2 Swing (G347) vs. S3 Swing (G547)
Total Height(cm)64-8493Similar
Back RestAngle (°)7-(8.5)13.3-(-12)Similar
Frame Width(cm)57/60/63/6657/60/63/66/71Similar
Seat Width(cm)36/39/42/4536/39/42/45/50Similar
Footrest Width(cm)49-5949-63Similar
Total Weight(kg)9.6-10.09.4-10.3Similar
Castors(inches)54.73Similar
ModelsU2 (G351) vs. U3 (G551)
Total Length(cm)84.584Similar
Back RestAngle (°)11.5-(-7.3)17.3-(-5)Similar
Total Weight(kg)8.2-8.78.0-8.5Similar
Castors(inches)33.54Similar
ModelsU2 Light (G346) vs. U3 Light (G557)
Back RestHeight (cm)22-3525-35Similar
Footrest Angle(°)100100Same
Total Weight(kg)6.8-7.26.0-6.2Similar
Castors(inches)32.95Similar
AttributesPredicate Devices(K083231)Subject DevicesComparison
ModelsU2 Light (G346) vs. X (G350)
FrameMaterialChrome-molly chassisCFRCDifferent. CFRC is alsoused to construct theframe of the referencedevice (K161425).
Total Weight(kg)6.8-7.24.4-4.6Different. Thereference device(K161425) has a similarweight (4.9 kg withwheels and 4.2 kgwithout wheels) to theX model subject deviceas a result of its CFRCchassis.
Safety andPerformanceTestingBiocompatibility per ISO 10993-1. Requirements and Test Methods of Manual Wheelchairs per EN 12183. Resistance to Ignition of Postural Support Devices per ISO 7176-16.Biocompatibility per ISO 10993-1. Requirements and Test Methods of Manual Wheelchairs per EN 12183. Resistance to Ignition of Postural Support Devices per ISO 7176-16.Same

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10. Non-Clinical Performance Data

To demonstrate substantial equivalence of the subject Bambino 3, S3, S3 Swing, U3, U3 Light and X model wheelchairs to the predicate Bambino, S2, S2 Swing, U2 and U2 wheelchairs, Panthera submitted their devices for the following non-clinical tests. Results confirm that the design inputs and performance specifications for the modified subject devices have been met.

  • Biocompatibility testing per: .
    o ISO 10993-1

  • . Cytotoxicity testing per:

    • o ISO 10993-5
  • . Chemical Characterization testing per:

    • o ISO 10993-18
  • . Toxicological Risk Assessment per:

    • o ISO 10993-17
  • . Wheelchair Performance Testing per:

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  • ISO 7176-16, Resistance to Ignition of Postural Support Devices O
  • EN 12183, Manual Wheelchairs. Requirements and Test Methods (equivalent to): O
    • l ISO 7176-1 (static stability)
    • ISO 7176-3 (brakes)
    • ISO 7176-8 (static, impact and fatigue strengths)
    • ISO 7176-11 (test dummies)
    • ISO 7176-15 (information, documentation and labeling)
    • ISO 7176-19 (crash)
    • l ISO 7176-22 (Set-up procedures)

Panthera also performed the following internal quality control measures during the design, development and manufacturing of their Bambino 3, S3, S3 Swing, U3, U3 Light and X wheelchairs:

  • . Compliance with the following FDA guidance document:
    • Guidance Document for the Preparation of Premarket Notification [510(k)] Applications for O Mechanical and Powered Wheelchairs, and Motorized Three-Wheeled Vehicles
  • Compliance with 21 CFR Part 820 Quality System Regulation
    • (including Design Controls) O
  • Compliance with 21 CFR Part 801 Labeling
  • Compliance with 21 CFR Part 830 Unique Device Identification
  • . Dimensional Verification per:
    • Panther internal specifications O
  • . Risk Analysis (FMEA) per:
    • o ISO 14971, Medical Devices Application of Risk Management to Medical Devices

In conclusion, the performance of the subject devices met the non-clinical bench testing and demonstrate that the device is as safe, as effective, and performs as well as or better than the predicate devices, and therefore support substantial equivalence to them.

11. Clinical Performance Data

Clinical testing on the subject devices have not been performed.

12. Substantial Equivalence Conclusion

The Bambino 3, S3, S3 Swing, U3, U3 Light and X wheelchairs have the same intended use and indications for use as the Bambino, S2, S2 Swing, U2 and U2 wheelchairs, and the same or similar technological characteristics. The differences in technological characteristics between the subject and predicate devices do not raise new or different questions of safety and effectiveness. Performance testing has demonstrated that the subject devices are as safe and effective as the predicate devices and substantially equivalent to them.

§ 890.3850 Mechanical wheelchair.

(a)
Identification. A mechanical wheelchair is a manually operated device with wheels that is intended for medical purposes to provide mobility to persons restricted to a sitting position.(b)
Classification. Class I (general controls).