K Number
K231320
Device Name
Zhenjiang Assure Mechanical Wheelchair,model:K1
Date Cleared
2023-06-05

(28 days)

Product Code
Regulation Number
890.3850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The device is intended for medical purpose to provide mobility to persons restricted to a sitting position.
Device Description
The Zhenjiang Assure Mechanical Wheelchair,model:K1 is indoor/outdoor wheelchair that has a base with four-wheeled with a seat.The device can be disassembled for transport and it is foldable easily. The device is consistent with the ISO 7176 series standards and uses a standard sling type back and seat, the upholstery fabric meets the flame retardant test.
More Information

Not Found

No
The summary describes a standard mechanical wheelchair and explicitly states "Not Found" for mentions of AI, DNN, or ML.

No
A wheelchair provides mobility and assistance but primarily serves as an assistive device rather than directly treating a medical condition or restoring health.

No
Explanation: The device is described as a mechanical wheelchair intended to provide mobility, not to diagnose medical conditions.

No

The device description clearly states it is a "Mechanical Wheelchair" with a base, wheels, and seat, indicating it is a physical hardware device. The performance studies also reference ISO standards for wheelchairs, further confirming it is not software-only.

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 restricted to a sitting position. This is a physical function, not a diagnostic one.
  • Device Description: The description details a mechanical wheelchair, which is a mobility aid.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (blood, urine, tissue, etc.) or providing information about a person's health status or disease.
  • Performance Studies: The performance studies focus on the mechanical aspects and safety of the wheelchair (based on ISO 7176 standards), not on diagnostic accuracy or clinical outcomes related to a disease or condition.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This wheelchair does not perform any such function.

N/A

Intended Use / Indications for Use

The device is intended for medical purpose to provide mobility to persons restricted to a sitting position.

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

IOR

Device Description

The Zhenjiang Assure Mechanical Wheelchair,model:K1 is indoor/outdoor wheelchair that has a base with four-wheeled with a seat.The device can be disassembled for transport and it is foldable easily. The device can be disassembled for transport and it is foldable easily. The device is consistent with the ISO 7176 series standards and uses a standard sling type back and seat, the upholstery fabric meets the flame retardant test.

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)

The manufacturer has performed non-clinical performance testing based on its risk assessment utilizing Failure Mode Effect Analysis (FMEA).
Following Quality System processes,required testing was conducted to validate the cumulative modifications made to the subject devices.
Performance test

  1. ISO 7176-1:2014 Wheelchairs-Part 1: Determination of static stability.
  2. ISO 7176-3:2012 Wheelchairs-Part 3: Determination of effectiveness of brakes
  3. ISO 7176-5:2008 Wheelchairs-Part 5:Determination of overall dimensions, mass and maneuvering space
  4. ISO 7176-11:2012 Wheelchairs-Part 11: Test dummies
  5. ISO 7176-13:1989 Wheelchairs-Part 13:Determination of coefficient of friction of test surfaces
  6. ISO 7176-15:1996 Wheelchairs-Part 15:Requirements for information disclosure, documentation and labelling.
  7. ISO 7176-16:2012 Wheelchairs-Part 16:Resistance to ignition of upholstered parts, Requirements and test methods

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.

K112816

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
.

§ 890.3850 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).

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June 5, 2023

Zhenjiang Assure Medical Equipment Co.,Ltd. Eric Shi QA & QC Manager No.297, Chuqiao road, Zhenjiang city, Jiangsu province China

Re: K231320

Trade/Device Name: Zhenjiang Assure Mechanical Wheelchair, Model:K1 Regulation Number: 21 CFR 890.3850 Regulation Name: Mechanical Wheelchair Regulatory Class: Class I, reserved Product Code: IOR Dated: May 5, 2023 Received: May 8, 2023

Dear Eric Shi:

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

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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); 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 (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 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,

Tushar Bansal -S

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

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Indications for Use

510(k) Number (if known) K231320

Device Name

Zhenjiang Assure Mechanical Wheelchair,model:K1

Indications for Use (Describe)

The device is intended for medical purpose to provide mobility to persons restricted to a sitting position.

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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510k Summary

As per 21 CFR 807.92

1.Submitter Information

Company Name:Zhenjiang Assure Medical Equipment Co.,Ltd.

Address: No.297, Chuqiao road, Zhenjiang city, Jiangsu province,China.

Phone:+86-18621771627

Contact Person (including title):Eric Shi (QA&QC Manager)

E-mail:eric-shi@isosh.com

Subject Device Information

  • � Type of 510(k) submission:Special
  • � Common Name:Mechanical Wheelchair
  • � Proprietary Name:Zhenjiang Assure Mechanical Wheelchair,model:K1
  • Regulation Name:Wheelchair, Mechanical �
  • � Product Code:IOR
  • � Regulation Number:890.3850
  • � Regulation Class:1

2.Predicate Device Information

  • � Sponsor:Zhenjiang Assure Medical Equipment Co., Ltd
  • � Common Name: Mechanical Wheelchair
  • � Proprietary Name:Zhenjiang Assure Mechanical Wheelchair, model:A227
  • � Regulation Name:Wheelchair, Mechanical
  • 510(k) number:K112816
  • � Product Code:IOR
  • � Regulation Number:890.3850
  • � Regulation Class:1

3.Device Description

The Zhenjiang Assure Mechanical Wheelchair,model:K1 is indoor/outdoor wheelchair that has a base with four-wheeled with a seat.The device can be disassembled for transport and it is foldable easily. The device can be disassembled for transport and it is foldable easily. The device is

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consistent with the ISO 7176 series standards and uses a standard sling type back and seat, the

upholstery fabric meets the flame retardant test.

| Elements of

ComparisonSubject Device: K231320Predicate Device: K112816Comment
Proprietary NameZhenjiang Assure Mechanical
Wheelchair,model:K1Zhenjiang Assure Mechanical
Wheelchair, model:A227N/A
General Comparison
510(k) NumberK231320K112816N/A
Regulation NameWheelchair, MechanicalWheelchair, MechanicalSame
Regulation Number890.3850890.3850Same
Product CodeIORIORSame
Indications for UseThe device is intended for
medical purpose to provide
mobility to persons restricted
to a sitting position.The device is intended for medical
purpose to provide mobility to
persons restricted to a sitting
position.Same
ModelK1A227
Over-The-Counter
UseYesYes
Where usedIndoor/outdoorIndoor/outdoorSame
Target populationThe elderly and disabledThe elderly and disabledSame
Frame Materialhigh-quality SPCC steel pipehigh-quality SPCC steel pipeSame
FrameworkfoldablefoldableSame
Casters8"5" ~ 8"
Rear wheel24"12 1/2" ~ 22"Note 1
Seat length16"~18"10~17"
Seat height19.5"21"
Elements of
ComparisonSubject DevicePredicate DeviceComment
Seat width16"~20"10"~18"
Max loading136 kg/300 lbs100 kg/220 lbs
Materialshigh-quality SPCC steel pipehigh-quality SPCC steel pipeSame
Components of
Mechanical
WheelchairHandleHandleNote 2
FootplateFootplate
BackrestBackrest
ArmrestArmrest
Front casterFront caster
Front forkFront fork
Rear wheelRear wheel
Handle size103*34mm103*34mmSame
Footplate size197*161mm197*161mmSame
Backrest size16"~20"16"~20"Same
Armrest size10.12" x 2.2" x 1.42"10.12" x 2.2" x 1.42"Same
Front caster size8"*1.25"8"*1"Same
Rear wheel size24"*1"24"*1"Same
Handle size103*34mm103*34mmSame
Performancecompatible as requirement of
ISO7176-1:1999,ISO7176-3:
2003,ISO7176-5:2008,ISO7176
6-11:1992,ISO7176-13:1989,I
SO7176-15:1996,ISO7176-16:
1997compatible as requirement of
ISO7176-1:1999,ISO7176-3:
2003,ISO7176-5:2008,ISO7176-11:
1992,ISO7176-13:1989,ISO7176-1
5:1996,ISO7176-16:1997Same

4.Summary of Comparison and Technological Characteristics

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Note 1: The K1 is a new specification for predicate device.The parameters of Casters,Rear

wheel,Seat length,Seat height,Seat width and Max loading differ from those of predicate devices.

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Note 2: The K1 is a new specification for predicate device.The K1 is also composed of Handle,Footplate,Backrest,Armrest,Front caster,Front fork and Rear wheel.The design of front fork is differ from those of predicate devices.

6.Summary of Verification and Validation

The manufacturer has performed non-clinical performance testing based on its risk assessment utilizing Failure Mode Effect Analysis (FMEA).

Following Quality System processes,required testing was conducted to validate the cumulative modifications made to the subject devices.

Performance test

| No. | FDA
recognition
number | Standards Development Organization (SDO), Designation
Number-Year, and Title |
|-----|------------------------------|--------------------------------------------------------------------------------------------------------------------|
| 1 | 16-195 | ISO 7176-1:2014 Wheelchairs-Part 1: Determination of static stability. |
| 2 | 16-192 | ISO 7176-3:2012 Wheelchairs-Part 3: Determination of effectiveness of
brakes |
| 3 | 16-163 | ISO 7176-5:2008 Wheelchairs-Part 5:Determination of overall
dimensions, mass and maneuvering space |
| 4 | 16-190 | ISO 7176-11:2012 Wheelchairs-Part 11: Test dummies |
| 5 | 16-25 | ISO 7176-13:1989 Wheelchairs-Part 13:Determination of coefficient of
friction of test surfaces |
| 6 | 16-27 | ISO 7176-15:1996 Wheelchairs-Part 15:Requirements for information
disclosure, documentation and labelling. |
| 7 | 16-191 | ISO 7176-16:2012 Wheelchairs-Part 16:Resistance to ignition of
upholstered parts, Requirements and test methods |

7.Conclusion

The conclusions drawn from the nonclinical and clinical tests demonstrate that the device is as safe,

as effective, and performs as well as the legally marketed predicate device

8.Prepared Date

6 May 2023

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