K Number
K231868
Date Cleared
2023-10-31

(127 days)

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

The intended use of the Electric Wheelchair (Robooter E40), Model name: BBR-E40-01 is to provide outdoor and indoor mobility to persons limited to a seated position that are capable of operating a powered wheelchair.

Device Description

The Electric Wheelchair (Robooter E40), Model name: BBR-E40-01 is an indoor/outdoor, battery-operated, 2-wheel drive (rear-wheel drive) powered wheelchair. It consists of four modules: seat system, control system, braking system, and drive system. The user sits in the wheelchair seat and uses the control system. The control panel positioned on the right or left armrest allows the user to turn the wheelchair on, control the speed, and direct the movement. The braking system employs an electromagnetic brake. When the controller rocker is released, the electromagnetic brakes will be actuated, and the electric wheelchair will stop in several seconds. The electromagnetic brake will not take effect immediately, it will take effect after the wheel rotates for 1/2 cycle. The wheelchair is powered by a 24V DC, 20Ah rechargeable lithium-ion battery charged by an offboard lithium-ion battery charger. The wheelchair is driven by two DC motors. The Electric Wheelchair (Robooter E40), Model name: BBR-E40-01 contains Bluetooth 4.1 BLE technology. The device can be controller rocker or remote control by a smartphone app via Bluetooth 4.1 Low Energy (BLE) wireless communication interface. The smartphone app is used to drive the chair remotely. For safety, control is priority over the remote control by design. The smartphone app can also view the battery's status, adjust the speed gear level and lock/unlock the unattended device. The wheelchair can be folded/expanded manually. The Left and right handrails (joystick) can be interchange.

AI/ML Overview

The provided text is a 510(k) Summary for an Electric Wheelchair (Robooter E40), Model: BBR-E40-01. It describes how the device compares to a predicate device and the performance testing conducted to demonstrate substantial equivalence. However, it does not involve an AI algorithm with specific acceptance criteria related to accuracy, sensitivity, or specificity. Therefore, many of the requested categories are not applicable.

Here's an analysis of the available information:

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

For a medical device like an electric wheelchair, the "acceptance criteria" are compliance with various safety and performance standards, primarily ISO 7176 series, rather than metrics like accuracy or sensitivity for an AI system. The device aims to meet these standards to demonstrate substantial equivalence to a predicate device.

Acceptance Criterion (Standard Compliance)Reported Device Performance (Compliance)
ISO 7176-1:2014 (Static stability)Complies
ISO 7176-2:2017 (Dynamic stability)Complies
ISO 7176-3:2012 (Effectiveness of brakes)Complies
ISO 7176-4:2008 (Energy consumption/range)Complies
ISO 7176-5:2008 (Dimensions, mass, maneuvering)Complies
ISO 7176-6:2018 (Max speed, accel, decel)Complies
ISO 7176-7:1998 (Seating & wheel dimensions)Complies
ISO 7176-8:2014 (Static, impact, fatigue strengths)Complies
ISO 7176-9:2009 (Climatic tests)Complies
ISO 7176-10:2008 (Obstacle-climbing ability)Complies
ISO 7176-11:2012 (Test dummies)Used for testing
ISO 7176-13:1989 (Coefficient of friction)Used for testing
ISO 7176-14:2008 (Power & control systems)Complies
ISO 7176-15:1996 (Information disclosure)Complies
ISO 7176-16:2012 (Resistance to ignition)Complies
ISO 7176-22:2014 (Set-up procedures)Used for testing
ISO 7176-25:2013 (Batteries & chargers)Complies
ISO 7176-21:2009 (EMC)Complies
ANSI C63.27-2017 (Wireless Coexistence)Complies
ISO 10993-5:2009 (Cytotoxicity)Complies
ISO 10993-10:2021 (Skin Sensitization)Complies
ISO 10993-23:2021 (Irritation)Complies

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 specify a "test set" in the context of an AI algorithm or data. The performance testing is described as non-clinical testing to ensure compliance with relevant ISO standards. This typically involves testing of physical units of the device. Sample sizes for these types of engineering tests are not usually reported in the same way as for clinical trials or AI validation sets. Data provenance (country of origin, retrospective/prospective) is not applicable or provided.

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 is not applicable as there is no mention of a "test set" that requires expert-established ground truth. The acceptance is based on compliance with engineering and safety standards.

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

This is not applicable for the type of device and testing described.

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 since the device is an electric wheelchair, not an AI-powered diagnostic or assistive tool for human "readers" or clinicians.

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

This is not applicable as the device is an electric wheelchair, not an algorithm.

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

The "ground truth" for this device's performance is adherence to the measurement and safety requirements specified in the various ISO and ANSI standards listed. For example, for static stability, the ground truth is simply whether the device maintained stability under the specified test conditions.

8. The sample size for the training set

This is not applicable as the device is a physical product, not an AI algorithm requiring a training set.

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

This is not applicable.

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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 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.

October 31, 2023

Shanghai BangBang Robotics Co., Ltd. Liu Canfeng Test and Certification Manager Room 501, Building 3, No.188 Zhongchen Road Songjiang District Shanghai. 201613 China

Re: K231868

Trade/Device Name: Electric Wheelchair (Robooter E40), Model: BBR-E40-01 Regulation Number: 21 CFR 890.3860 Regulation Name: Powered Wheelchair Regulatory Class: Class II Product Code: ITI Dated: October 2, 2023 Received: October 2, 2023

Dear Liu Canfeng:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device"

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(https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 801); medical device reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.

Tushar Bansal -S

for Heather Dean, PhD Assistant Director, Acute Injury Devices Team DHT5B: Division of Neuromodulation and Rehabilitation Devices OHT5: Office of Neurological and Physical Medicine Devices

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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) K231868

Device Name

Electric Wheelchair (Robooter E40), Model name: BBR-E40-01

Indications for Use (Describe)

The intended use of the Electric Wheelchair (Robooter E40), Model name: BBR-E40-01 is to provide outdoor and indoor mobility to persons limited to a seated position that are capable of operating a powered wheelchair.

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

Prepared in accordance with the requirements of 21 CFR Part 807.92

K231868

Prepared Date: Sep. 28,2023

1. Submitter's Information

The submitter of this pre-market notification is:

Name:Shanghai BangBang Robotics Co., Ltd.
Address:Room 501, Building 3, No.188 Zhongchen Road, SongjiangDistrict, Shanghai 201613 China
Contact person:Canfeng liu
Title:Test and Certification Manager
E-mail:liucf@bangbangrobotics.com
Tel:86-13524910052

2. Device Identification

510(K) number:K231868
Trade/Device Name:Electric Wheelchair (Robooter E40)
Model:BBR-E40-01
Common name:Wheelchair, Powered
Regulation Number:890.3860
Regulation Name:Powered wheelchair
Regulation Class:Class 2
Panel:Physical Medicine
Product Code:ITI

3. Predicate Device

510(K) number:K223393
Trade/Device Name:Electric Wheelchair
Model:BBR-LY-01-01
Common name:Wheelchair, Powered
Regulation Number:890.3860
Regulation Name:Powered wheelchair
Regulation Class:Class 2
Panel:Physical Medicine
Product Code:ITI

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4. Indication for Use

The intended use of the Electric Wheelchair (Robooter E40), Model name: BBR-E40-01 is to provide outdoor and indoor mobility to persons limited to a seated position that are capable of operating a powered wheelchair.

5. Device Description

The Electric Wheelchair (Robooter E40), Model name: BBR-E40-01 is an indoor/outdoor, battery-operated, 2-wheel drive (rear-wheel drive) powered wheelchair.

It consists of four modules: seat system, control system, braking system, and drive system.

The user sits in the wheelchair seat and uses the control system.

The control panel positioned on the right or left armrest allows the user to turn the wheelchair on, control the speed, and direct the movement.

The braking system employs an electromagnetic brake. When the controller rocker is released, the electromagnetic brakes will be actuated, and the electric wheelchair will stop in several seconds. The electromagnetic brake will not take effect immediately, it will take effect after the wheel rotates for 1/2 cycle.

The wheelchair is powered by a 24V DC, 20Ah rechargeable lithium-ion battery charged by an offboard lithium-ion battery charger. The wheelchair is driven by two DC motors.

The Electric Wheelchair (Robooter E40), Model name: BBR-E40-01 contains Bluetooth 4.1 BLE technology. The device can be controller rocker or remote control by a smartphone app via Bluetooth 4.1 Low Energy (BLE) wireless communication interface. The smartphone app is used to drive the chair remotely. For safety, control is priority over the remote control by design. The smartphone app can also view the battery's status, adjust the speed gear level and lock/unlock the unattended device.

The wheelchair can be folded/expanded manually. The Left and right handrails (joystick) can be interchange.

6. Compared to Predicate Device

Compared to the predicate device, the subject device has the same intended use, similar product design, and similar performance. The summarized comparison is listed in the following table:

SEComparisonsSubject DeviceElectric Wheelchair (RobooterE40)(Model: BBR-E40-01)Predicate DeviceElectric Wheelchair(Model: BBR-LY-01-01)Similarities/Differences
510(K) numberK231868K223393/
Indication forUseThe intended use of theElectric Wheelchair (RobooterE40), Model name: BBR-E40-01 is to provide outdoor andindoor mobility to personsThe intended use of the ElectricWheelchair (Model: BBR-LY-01-01) is to provide outdoor andindoor mobility to persons limitedto a seated position that areSame
limited to a seated positionthat are capable of operatinga powered wheelchair.capable of operating a poweredwheelchair.
Product codeITIITISame
ClassIIIISame
RegulationNumber21 CFR 890.386021 CFR 890.3860Same
Common nameWheelchair, PoweredWheelchair, PoweredSame
Type of UseOver the Counter (OTC Only)Over the Counter (OTC Only)Same
Device Length1000 mm1075 mmDifferent SeeNote 1
Device Width624mm628 mmDifferent SeeNote 1
Device Height930mm930 mmSame
Stowage Length700mm895 mmDifferent SeeNote 1
Stowage Width624mm628 mmDifferent SeeNote 1
Stowage Height450mm395 mmDifferent SeeNote 1
Number ofwheels44Same
Front WheelDiameter8 in10 inDifferent SeeNote 2
Rear WheelDiameter10 in10 inSame
Battery pack1 rechargeable lithium-ionbatteryRatings: 24 V 20Ah1 rechargeable lithium-ionbatteryRatings: 24 V 20AhSame
Battery weight3.4kg3.4kgSame
ChargerInput: 100-240V AC50/60Hz 2.2AOutput: 29.4V DC 3AInput: 100-240VAC 50-60Hz1.9AOutput: 24V DC 4ADifferent SeeNote 3
MaximumWeight Capacity150kg120kgDifferent SeeNote 4
Maximumforward speed(maximum safespeed)7.1km/h6km/hDifferent SeeNote 5
Speed Settings55Same
Braking SystemElectromagneticElectromagneticSame
Brakingmechanism incase of electricalBrake FailureNormally closed brakes beemployed. Whenthe device is powered off orwhen electrical poweris lost, the brakes engaged onNormally closed brakes beemployed. Whenthe device is powered off orwhen electrical poweris lost, the brakes engaged onSame
the motors to prevent rotation.the motors to prevent rotation.
Minimum brakingdistance frommaxSpeed102cm120cmDifferent SeeNote 6
Turning Radius450mm380 mmDifferent SeeNote 1
ObstacleClimbing Height40mm45mmDifferent SeeNote 1
Groundclearance65 mm64 mmSimilar. See Note1.
Drive system2 Wheel Drive (Rear wheeldrive)2 Wheel Drive (Rear wheel drive)Same
FoldingmechanismManually fold/expandAutomatically fold/ expand droveby motorDifferent SeeNote 7
Dynamic StabilityDifferent SeeNote 8
Driving Range(fullbattery charge)/Maximumdistanceon fully batterycharge21.5km20.6kmDifferent SeeNote 4
On/Off ButtonYes, Power Button on thecontrol padYes, Power Button on thecontrol padSame
rocker LocationRight/left can be interchangeRight armDifferentThe locationof rockerdoes notaffect safetyandeffectiveness
Seat Widths420mm425mmDifferentSee Note 2
Seat Depths430mm425mmDifferentSee Note 2
Back supportHeight460mm455mmDifferentSee Note 2
OperatingConditions-10°C~50°C-10°C~50°CSame
StorageConditions-20 °C~60 °C-40 °C~60 °CDifferentSee Note 9
SmartphoneAppiOS and AndroidiOS and AndroidSame
Wireless RFfrequencyrange2.400GHz ~ 2.4835GHz2.400GHz ~ 2.4835GHzSame
Wireless RFmaximumoutputpower+4dBm~-20dBm (in 4dB steps)+4dBm~-20dBm (in 4dB steps)Same
Wirelessoperatingrange10m10mSame
Non clinical testing
Performancewheelchair conforms to theISO 7176 standardswheelchair conforms to the ISO7176 standardsSame
FlammabilityTestingwheelchair conforms to theISO 7176-16 standardswheelchair conforms to the ISO7176-16 standardsSame
Biocompatibilitywheelchair conforms to ISO10993-5:2009,ISO 10993-10:201 and ISO 10993-23:2021wheelchair conforms to ISO10993-5:2009 and ISO 10993-10:2010DifferentSee Note 10
EMCwheelchair conforms to ISO7176-21:2009wheelchair conforms to ISO7176-21:2009Same
Wirelesswheelchair conforms to ANSIC63.27-2017wheelchair conforms to ANSIC63.27-2017
coexistenceSame

510(k) Summary

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510(k) Summary

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Note 1: The predicate device and subject device have different dimensions. Both comply with ISO 7176-5:2008 Wheelchairs – Part 5: Determination of dimensions, mass, and maneuverings space so these differences do not affect safety and effectiveness.

Note 2: Both the subject device and the predicate device comply with ISO 7176-7:1998 Wheelchairs - Part 7: Measurement of seating and wheel dimensions, so these differences do not affect safety and effectiveness.

Note 3: The battery charger of both the subject device and predicate device complies with ISO 7176-25: 2013 Wheelchairs – Part 25: Batteries and chargers for powered wheelchairs, so these differences do not affect safety and effectiveness.

Note 4: Both the subject device and the predicate device comply with ISO 7176-4: 2008 Wheelchairs - Part 4: Energy consumption of electric wheelchairs and scooters for determination of theoretical distance range, so these differences do not affect safety and effectiveness.

Note 5: Both the subject device and the predicate device comply with ISO 7176-6:2018 Wheelchairs - Part 6: Determination of maximum speed, acceleration and deceleration of electric wheelchairs, so these differences does not affect safety and effectiveness.

Note 6: Both the subject device and the predicate device comply with ISO 7176-3:2017 Wheelchairs - Part 3: Determination of effectiveness of brakes, so this difference does not affect safety and effectiveness.

Note 7: The subject device can be folded/expanded manually, the folding mechanism can bear the specified mass in the intended environment, and it does not cause mechanic or other hazards, so this difference does not affect safety and effectiveness.

Note 8: Both the subject device and the predicate device comply with ISO 7176-2:2017 Wheelchairs - Part 2: Determination of dynamic stability of electrically powered wheelchairs, so the noted difference does not affect safety and effectiveness.

Note 9: Both the subject device and the predicate device comply with ISO 7176-9:2009 Wheelchairs - Part 9: Climatic tests for electric wheelchairs. These differences do not affect safety and effectiveness.

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Note 10: Both the subject device and the predicate device evaluated biocompatibility according to ISO 10993 series standards. Although the standard version updated, test methods for the subject device and the predicate device are same.

The subject device and predicate device are substantially equivalent in the areas of technological characteristics such as basic design, features, energy source, method of operation, general function, application, and intended use. The subject device does not raise any new potential safety risks and is equivalent in performance to the existing legally marketed devices.

8. Performance Testing Summary

The subject device Electric Wheelchair (Model: BBR-E40-01) comply with:

Clinical test:

Clinical testing is not required.

Non-clinical data

Safety and performance

ISO 7176-1:2014 Wheelchairs - Part 1: Determination of static stability

ISO 7176-2:2017 Wheelchairs - Part 2: Determination of dynamic stability of electrically powered wheelchairs

ISO 7176-3:2012 Wheelchairs - Part 3: Determination of effectiveness of brakes

ISO 7176-4:2008 Wheelchairs - Part 4: Energy consumption of electric wheelchairs and scooters for determination of theoretical distance range

ISO 7176-5:2008 Wheelchairs - Part 5: Determination of overall dimensions, mass and manoeuvring space

ISO 7176-6:2018 Wheelchairs - Part 6: Determination of maximum speed, acceleration and deceleration of electric wheelchairs

ISO 7176-7:1998 Wheelchairs - Part 7: Measurement of seating and wheel dimensions

ISO 7176-8:2014 Wheelchairs - Part 8: Requirements and test methods for static, impact and fatigue strenaths

ISO 7176-9:2009 Wheelchairs - Part 9: Climatic tests for electric wheelchairs

ISO 7176-10:2008 Wheelchairs - Part 10: Determination of obstacle-climbing ability of electrically powered wheelchairs

ISO 7176-11:2012 Wheelchairs - Part 11: Test dummies

ISO 7176-13:1989 Wheelchairs - Part 13: Determination of coefficient of friction of test surfaces ISO 7176-14:2008 Wheelchairs - Part 14: Power and control systems for electrically powered wheelchairs and scooters - Requirements and test methods

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ISO 7176-15:1996 Wheelchairs - Part 15: Requirements for information disclosure, documentation and labeling ISO 7176-16:2012 Wheelchairs - Part 16: Resistance to ignition of postural support devices ISO 7176-22:2014 Wheelchairs - Part 22: Set-up procedures ISO 7176-25:2013 Wheelchairs - Part 25: Batteries and chargers for powered wheelchairs

EMC

ISO 7176-21:2009 Wheelchairs - Part 21: Requirements and test methods for electromagnetic compatibility of electrically powered wheelchairs and scooters, and battery chargers

Wireless Co-existence

ANSI C63.27-2017 American National Standard for Evaluation of Wireless Coexistence

Biocompatibility

ISO 10993-5:2009 Biological Evaluation of Medical Devices - Part 5: Tests For In Vitro Cytotoxicity ISO 10993-10:2021 Biological Evaluation of Medical Devices - Part 10: Tests for Skin Sensitization ISO 10993-23:2021 Biological Evaluation of Medical Devices - Part 23: Tests for Irritation

9. Conclusion

The conclusions drawn from the nonclinical tests demonstrate that the subject device Electric Wheelchair (Robooter E40), Model name: BBR-E40-01 is as safe, as effective, and performs as well as the legally marketed predicated device Electric Wheelchair (Model: BBR-LY-01-01) K223393.

§ 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).