K Number
K232198
Device Name
Reclining wheelchair (YJ-011S 16”D, YJ-011S 16”DF, YJ-011S 18”D, YJ-011S 18”DF, YJ-011S 20”D, YJ-011S 20”DF)
Date Cleared
2023-09-15

(52 days)

Product Code
Regulation Number
890.3850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The YJ-011S Manual Wheelchair is to provide mobility to persons limited to a sitting position.
Device Description
The YJ-011S series is a mechanical wheelchair which is a manually operated device with wheels that is intended for medical purposes to provide mobility to persons restricted to a sitting position. It can be folded for transport by bringing the two sides together. The manual wheelchair incorporates a main frame, a seat, two adjustable footrests and four wheels. The larger rear wheels have hand rims of slightly smaller diameter projecting just beyond the tire. These allows the user to maneuver the chair by pushing them on without requiring them to grasp the tires. The manual wheelchairs have brakes that bear on the tires of the rear wheels and two push handles at the upper rear of the frame to allow for manual propulsion by an assistant.
More Information

Not Found

No
The device description and performance studies indicate a purely mechanical, manually operated wheelchair with no mention of AI or ML components.

Yes.
The device provides mobility for individuals with limited sitting ability, which is a therapeutic function.

No

The device description indicates it is a mechanical wheelchair, which is intended for mobility and does not perform any diagnostic functions.

No

The device description clearly states it is a mechanical wheelchair with physical components like a frame, seat, footrests, and wheels, indicating it is a hardware device, not software-only.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Definition of IVD: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Intended Use: The intended use of the YJ-011S Manual Wheelchair is clearly stated as providing mobility to persons limited to a sitting position. This is a physical aid, not a diagnostic test.
  • Device Description: The description details a mechanical device for physical mobility, not equipment for analyzing biological samples.
  • Lack of IVD-related information: The document does not mention any processes related to sample collection, analysis, reagents, or diagnostic results, which are characteristic of IVDs.

The YJ-011S Manual Wheelchair is a Class I medical device (based on the predicate device K201461, which is a Class I manual wheelchair) intended for physical support and mobility.

N/A

Intended Use / Indications for Use

The YJ-011S Manual Wheelchair is to provide mobility to persons limited to a sitting position.

Product codes

IOR

Device Description

The YJ-011S series is a mechanical wheelchair which is a manually operated device with wheels that is intended for medical purposes to provide mobility to persons restricted to a sitting position. It can be folded for transport by bringing the two sides together. The manual wheelchair incorporates a main frame, a seat, two adjustable footrests and four wheels.

The larger rear wheels have hand rims of slightly smaller diameter projecting just beyond the tire. These allows the user to maneuver the chair by pushing them on without requiring them to grasp the tires. The manual wheelchairs have brakes that bear on the tires of the rear wheels and two push handles at the upper rear of the frame to allow for manual propulsion by an assistant.

Main Components: Main frame, back upholstery, seat upholstery, handgrip, armrest, front wheel, rear wheel, hand rim, crossbar, footplates, brake, leg rest.

The device can be operated indoors, or outdoors on dry, level surfaces composed of concrete, blacktop, or asphalt under normal driving conditions.

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)

Non-clinical tests were conducted to verify that the subject device met all design specifications and was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards: ISO 7176-1:2014, Wheelchairs - Part 1: Determination of static stability, ISO 7176-3:2012 Wheelchairs - Part 3: Determination of effectiveness of brakes, ISO 7176-5: 2008 Wheelchairs - Part 5: Determination of overall dimensions, mass and maneuvering space, 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 strengths, 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 7176-15: 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.

Biocompatibility testing was conducted in accordance with the 2020 FDA guidance Use of International Standard ISO 10993-1, "Biological Evaluation of Medical Devices – Part 1: Evaluation and testing within a risk management process." Testing included: Cytotoxicity (ISO 10993-5:2009), Sensitization (ISO 10993-10:2010), Irritation (ISO 10993-23:2021). The testing supports the biocompatibility of the patient-contacting device materials that were shown to be non-cytotoxic, non-irritating, and non-sensitizing.

No clinical study is included in this submission.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K201461

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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).

0

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September 15, 2023

Zhenjiang Assure Medical Equipment Co., Ltd. % Eva Li Consultant Shanghai SUNGO Management Consulting Co., Ltd. Room 1401, Dongfang Building, 1500# Century Ave. Shanghai. 200122 China

Re: K232198

Trade/Device Name: Reclining wheelchair (YJ-011S 16"D, YJ-011S 16"DF, YJ-011S 18"D, YJ-011S 18"DF, YJ-011S 20"D, YJ-011S 20"DF)

Regulation Number: 21 CFR 890.3850 Regulation Name: Mechanical Wheelchair Regulatory Class: Class I, reserved Product Code: IOR Dated: July 25, 2023 Received: July 25, 2023

Dear Eva Li:

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.

1

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 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

for 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

2

Indications for Use

510(k) Number (if known) K232198

Device Name

Reclining wheelchair (YJ-011S 16"D, YJ-011S 16"DF, YJ-011S 18"DF, YJ-011S 18"DF, YJ-011S 20"DF)

Indications for Use (Describe)

The YJ-011S Manual Wheelchair is to provide mobility to persons limited 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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3

1. Submitter

Zhenjiang Assure Medical Equipment Co., Ltd. Address: No.297, Chuqiao Road, Zhenjiang City, Jiangsu Province, China Contact Person: Mei Ying Tel: +86-13852941204 Email: shelly@assuremedical.com.cn

Submission Correspondent Contact: Eva Li Phone: + 86 (215) 881-7802 Email: zxfda@sungoglobal.com Shanghai SUNGO Management Consulting Co., Ltd. Room 1401, Dongfang Building, 1500# Century Ave, Shanghai, 200122 CHN

Prepared Date: July 18th,2023

2. Device

Name of Device: Reclining wheelchair Common Name: Manual Wheelchair Model(s): YJ-011S 16"D, YJ-011S 16"DF, YJ-011S 18"D, YJ-011S 18"DF, YJ-011S 20"D, YJ-011S 20"DF

Regulatory Information Classification Name: Mechanical Wheelchair Regulatory Class: I Product code: IOR Regulation Number: 890.3850 Review Panel: Physical Medicine

3. Predicate device:

K201461 Ningbo Shenyu Medical Equipment Co.,Ltd. Manual Wheelchair (A011)

4. Device description

The YJ-011S series is a mechanical wheelchair which is a manually operated device with wheels that is intended for medical purposes to provide mobility to persons restricted to a sitting position. It can be folded for transport by bringing the two sides together. The manual wheelchair incorporates a main frame, a seat, two adjustable footrests and four wheels.

The larger rear wheels have hand rims of slightly smaller diameter projecting just beyond the tire. These allows the user to maneuver the chair by pushing them on without requiring them to grasp the tires. The manual wheelchairs have brakes that bear on the tires of the rear wheels and two push handles at the upper rear of the frame to allow for manual propulsion by an assistant.

4

Main Components:

Main frame, back upholstery, seat upholstery, handgrip, armrest, front wheel, rear wheel, hand rim, crossbar, footplates, brake, leg rest.

The device can be operated indoors, or outdoors on dry, level surfaces composed of concrete, blacktop, or asphalt under normal driving conditions.

ModelYJ-011S 16"D, YJ-011S 16"DF, YJ-011S 18"D, YJ-011S 18"DF, YJ-011S 20"D, YJ-011S 20"DF
Overall dimensionlength 1340mm* high 1258mm
*16"width 625mm
*18"width 675mm
*20"width 725mm
Folded dimensionwidth 323mm
Seat width16"410mmSeat plane angle
18"460mm
20"510mm
Seat depth460mmSeat height from floor525mm
Backrest angle7°-83.5°Backrest height500mm
Backrest width16"410mmFootrest-to-seat distance448mm-555mm
18"460mm
20"510mm
Footrest clearance72mmFootrest length200mm
Armrest-to-seat distance228mmFootrest-leg-angle95°
Leg-to-seat-surface angle140°Front-armrest-to-backrest distance-D: 320mm
-F: 475mm
Front-armrest-to-backrest distance-D: 320mmArmrest length-D: 260mm
-F: 352mm
-F: 475mm
Armrest width55mmArmrest angle3°-4°
Distance between armrests16"427mmFront location of armrest structure320mm
18"477mm
20"527mm
Hand rim diameterΦ580mmMaterialQ235
Horizontal location of axle55°Maximum weight bearing capacity of the device350LBS
Weight of the device(net)25.5kgStatic stability sideways15.25°
diameter of front wheelsΦ195mmdiameter of rear wheelsΦ613mm
Static stability uphill15.2°Static stability downhill15.2°
Minimum turning radius1170mm

The specification table is as below:

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510(k) Summary K232198

Parking brake
Max slope uphill8.35°
Max slope downhill8.15°

5. Indication for use

The YJ-011S Manual Wheelchair is to provide mobility to persons limited to a sitting position.

6. Comparison of technological characteristics with the predicate device

DevicePredicate DeviceProposed DeviceResults
510K NumberK201461K232198--
ManufacturerNingbo Shenyu Medical
Equipment Co., Ltd.Zhenjiang Assure Medical
Equipment Co., Ltd.--
Proprietary NameManual WheelchairReclining wheelchair--
ClassificationIIsame
Indications for useThe A011 Manual wheelchair is to
provide mobility to persons
limited to a sitting position.The YJ-011S reclining wheelchair is
to provide mobility to persons
limited to a sitting position.same
Design
CharacteristicManual Operation, Four-Wheels,
Foldable, Cross-Brace, Pull-to-
Lock, Armrest, Backrest, Foot restManual Operation, Four-Wheels,
Foldable, Cross-Brace, Pull-to-
Lock, Armrest, Backrest, Foot rest,
skirt guardSimilar*1
Brake controloccupant-operated brake onlyoccupant-operated brake onlysame
OperationFor indoor/outdoor useFor indoor/outdoor usesame
EnvironmentFor indoor/outdoor useFor indoor/outdoor usesame
Control ModeMechanicalMechanicalsame
Size(unfold)1100 (L) *660 (W) * 910mm (H)1340 (L)* 1258 (H)
*16" 625mm(W)
*18" 675mm(W)
*20" 725mm(W)Different*2
Stowage
length/width/height810 (L) X 320 (W) X 930mm (H)1340 (L)* 1258 (H)*323mm(W)different*2
Weight (Total)16kg(35.2lbs)25.5kgdifferent*2
Weight Capacity136Kg(300lbs)350LBSdifferent*2
Seat Width480mm410-510mmdifferent*2
Seat height540mm525mmdifferent*2
Seat depth420mm460mmdifferent*2
Back typeFixedAdjustableDifferent*3
TiresFront: 200mm
Rear:610mmFront: 195mm
Rear:613mmdifferent*2
ArmrestFlip back armrestfixeddifferent*3
Foot restOptional/ swing away Optional/
swing awayOptional/ swing away Optional/
swing awaysame

6

510(k) Summary

K232198
Rear Axle PositionSingleSingleSame
Frame ConstructionFoldable frame
Push inward from left and right
sides to foldFoldable frame
Push inward from left and right
sides to foldSame
Safety FeatureManual Wheel LockManual Wheel LockSame
PerformanceComply with:
ISO7176-1
ISO7176-3
ISO7176-5
ISO7176-7
ISO7176-8
ISO7176-11
ISO7176-13
ISO7176-15
ISO7176-16Comply with:
ISO7176-1
ISO7176-3
ISO7176-5
ISO7176-7
ISO7176-8
ISO7176-11
ISO7176-13
ISO7176-15
ISO7176-16Same
BiocompatibilityComply with:
ISO10993-1
ISO10993-5
ISO10993-10Comply with:
ISO10993-5
ISO10993-10
ISO10993-23Similar*4

Discussion :

Similar*1:Compared to the predicate device, the subject device adds two skirt guards which installed to the sides of the seat frame under the arm rests to provide a barrier between the occupant and the wheels. This feature can prevent occupant's clothes from getting caught in the wheels. This feature will not raise any new risk of safety or effectiveness.
Different*2:Compared to the predicate device, the subject device has different value on the unfold size, stowage size, device weight, capacity, seat width, seat height, seat depth, tire size. However, the subject has passed the and , so the above different will not raise any new risk of safety or effectiveness.
Different*3:Compared to the predicate device, the subject device's back is adjustable, and the arm can't be flipped. These differences will not raise any new risk of safety or effectiveness.
Similar*4The stimulation test in ISO 10993-23 replaces the stimulation test in ISO 10993-10:2010. It will not raise any new risk of safety or effectiveness.

7. Summary of Non-Clinic Performance Testing Performance Testing

Non-clinical tests were conducted to verify that the subject device met all design specifications and was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards: ISO 7176-1:2014, Wheelchairs - Part 1: Determination of static stability ISO 7176-3:2012 Wheelchairs - Part 3: Determination of effectiveness of brakes

7

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

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 strengths

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 7176-15: 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

Biocompatibility

Biocompatibility testing was conducted in accordance with the 2020 FDA guidance Use of International Standard ISO 10993-1, "Biological Evaluation of Medical Devices – Part 1: Evaluation and testing within a risk management process." Testing included:

  • · Cytotoxicity (ISO 10993-5:2009)
  • Sensitization (ISO 10993-10:2010)
  • · Irritation (ISO 10993-23:2021)

The testing supports the biocompatibility of the patient-contacting device materials that were shown to be non-cytotoxic, non-irritating, and non-sensitizing.

8. Clinical Test Conclusion

No clinical study is included in this submission.

9. Conclusion

The conclusion drawn from the nonclinical tests demonstrates that the subject device in this 510(k) submission is as safe and effective as the legally marketed predicate device cleared under K201461.