K Number
K241529
Device Name
Powered Wheelchair (NXN20-209)
Date Cleared
2024-11-22

(176 days)

Product Code
Regulation Number
890.3860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The device is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.
Device Description
The subject device, Powered Wheelchair, mainly powered by battery, motivated by DC motor, driven by user controlling joystick and adjusting speed. The Powered Wheelchairs consist of two foldable armrests, a backrest, a seat cushion, a safety belt, a foldable frame, two rear driving wheels with hub motor/electromagnetic brake assemblies, two pivoting casters, two Li-ion batteries, an off-board battery charger, a control panel, and an electric motor controller. The NXN20-209 Powered Wheelchair is intended to provide mobility to a disabled or elderly person limited to a seated position. The Powered Wheelchair has 7 inch front wheel and 12 inch rear tire. The motor of electric wheelchair is DC24V 200W; the battery is 24V 12AH, Li-ion battery; the charger is 24V/3A. Max. loading can not be over than 110Kgs. Max. distance of travel on the fully charged battery is 16.5 km and Max. speed forward is 6km/h. The braking time is about 2s, and the braking distance is less than or equal to 1.76m.
More Information

Not Found

No
The description details a standard powered wheelchair with a joystick control and electric motor. There is no mention of AI, ML, or any features that would suggest autonomous navigation, object detection, or adaptive control based on learned patterns. The software validation mentioned is for standard device software functions, not AI/ML.

No
The device is a transportation vehicle designed to provide mobility for disabled or elderly individuals, not to treat or cure a medical condition.

No

The device description indicates it is a powered wheelchair intended for mobility, not for diagnosing medical conditions.

No

The device description clearly outlines numerous hardware components including a motor, batteries, frame, wheels, and a control panel, indicating it is a physical device with integrated software, not a software-only device.

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

Here's why:

  • IVD Definition: 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.
  • Device Description and Intended Use: The provided description clearly states the device is a "motor driven, indoor and outdoor transportation vehicle" intended to "provide mobility to a disabled or elderly person limited to a seated position." This is a device for physical assistance and mobility, not for testing biological samples.
  • Lack of IVD Characteristics: The description does not mention any components or functions related to sample collection, analysis, reagents, or diagnostic testing.

Therefore, based on the provided information, this powered wheelchair is a mobility aid and not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The device is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

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

ITI

Device Description

The subject device, Powered Wheelchair, mainly powered by battery, motivated by DC motor, driven by user controlling joystick and adjusting speed.

The Powered Wheelchairs consist of two foldable armrests, a backrest, a seat cushion, a safety belt, a foldable frame, two rear driving wheels with hub motor/electromagnetic brake assemblies, two pivoting casters, two Li-ion batteries, an off-board battery charger, a control panel, and an electric motor controller.

The NXN20-209 Powered Wheelchair is intended to provide mobility to a disabled or elderly person limited to a seated position.

The Powered Wheelchair has 7 inch front wheel and 12 inch rear tire.

The motor of electric wheelchair is DC24V 200W; the battery is 24V 12AH, Li-ion battery; the charger is 24V/3A.

Max. loading can not be over than 110Kgs.

Max. distance of travel on the fully charged battery is 16.5 km and Max. speed forward is 6km/h.

The braking time is about 2s, and the braking distance is ≤1.76m.

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

Indoor and outdoor use

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 proposed device met all design specifications as 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 7176-2:2017 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 fatique strengths
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
ISO 7176-15:1996 Wheelchairs - Part 15: Requirements for information disclosure, documentation and labeling
ISO 7176-21:2009 Wheelchairs - Part 21: Requirements and test methods for electromagnetic compatibility of electrically powered wheelchairs and scooters, and battery chargers
ISO 7176-22:2014 Wheelchairs - Part 22: Set-up procedures
ISO 7176-25:2013 Wheelchairs - Part 25: Batteries and chargers for powered wheelchairs
ISO 16840-10:2021 Wheelchair seating - Part 10: Resistance to ignition of postural support devices - Requirements and test method
IEC 60601-1-2:2020 Medical electrical equipment - Part 1-2: General requirements for safety - Collateral standard: Electromagnetic compatibility - Requirements and tests

Software Verification and Validation Testing: Software documentation including verification & validation was provided in accordance with FDA Guidance: Content of Premarket Submissions for Device Software Functions for software. The Software Validation is in compliance with FDA Guidance.

No clinical study implemented for the electric wheelchair.

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.

K163204

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

§ 890.3860 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).

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and consists of the letters "FDA" stacked on top of the words "U.S. FOOD & DRUG ADMINISTRATION".

November 22, 2024

Zhejiang Nysin Medical Co., Ltd. % Boyle Wang Manager Shanghai Truthful Information Technology Co., Ltd. Room 1801, No. 161 East Lujiazui Rd., Pudong Shanghai. 200120 China

Re: K241529

Trade/Device Name: Powered Wheelchair (NXN20-209) Regulation Number: 21 CFR 890.3860 Regulation Name: Powered Wheelchair Regulatory Class: Class II Product Code: ITI Dated: October 21, 2024 Received: October 21, 2024

Dear Boyle Wang:

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.

1

ion, or data verification, provided by the FDA.

Page

2

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" (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 QS 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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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-regulatory

2

assistance/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 L. Dean -S

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

Enclosure

3

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 07/31/2026 See PRA Statement below.

Submission Number (if known)

K241529

Device Name

Powered Wheelchair (NXN20-209)

Indications for Use (Describe)

The device is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated 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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

4

K241529 - 510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR 807.92.

1.0 Submitter's information

Name: Zhejiang Nysin Medical Co., Ltd. Address: Building 13, No. 305 Jiulong North Road, Dongcheng District, Yongkang, Jinhua City, Zhejiang Province, China Tel: +86-579-87153722/ +86-18969388822 Contact: Zhang Xiaoying

Designated Submission Correspondent

Mr. Boyle Wang Shanghai Truthful Information Technology Co., Ltd. Room 1801, No. 161 East Lujiazui Rd., Pudong Shanghai, 200120 China Tel: +86-21-50313932 Email: Info@truthful.com.cn

Date of Preparation: Mar.28, 2024

2.0 Device information

Trade name: Powered Wheelchair Common name: Powered Wheelchair Classification name: Powered Wheelchair Model(s): NXN20-209

3.0 Classification

Production code: ITI Regulation number: 21 CFR 890.3860 Classification: Class II Panel: Physical Medicine

4.0 Predicate device information

Manufacturer: Kunshan Aoshida Electric Technology Co., Ltd. Trade/Device: A08 Power Wheelchair 510(k) number: K163204

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5.0 Indication for Use Statement

The device is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

6.0 Device description

The subject device, Powered Wheelchair, mainly powered by battery, motivated by DC motor, driven by user controlling joystick and adjusting speed.

The Powered Wheelchairs consist of two foldable armrests, a backrest, a seat cushion, a safety belt, a foldable frame, two rear driving wheels with hub motor/electromagnetic brake assemblies, two pivoting casters, two Li-ion batteries, an off-board battery charger, a control panel, and an electric motor controller.

The NXN20-209 Powered Wheelchair is intended to provide mobility to a disabled or elderly person limited to a seated position.

The Powered Wheelchair has 7 inch front wheel and 12 inch rear tire.

The motor of electric wheelchair is DC24V 200W; the battery is 24V 12AH, Li-ion battery; the charger is 24V/3A.

Max. loading can not be over than 110Kgs.

Max. distance of travel on the fully charged battery is 16.5 km and Max. speed forward is 6km/h.

The braking time is about 2s, and the braking distance is ≤1.76m.

7.0 Summary of Non-Clinical Testing

Non clinical tests were conducted to verify that the proposed device met all design specifications as 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 7176-2:2017 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 fatique strengths

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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

ISO 7176-15:1996 Wheelchairs - Part 15: Requirements for information disclosure, documentation and labeling

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

ISO 7176-22:2014 Wheelchairs - Part 22: Set-up procedures

ISO 7176-25:2013 Wheelchairs - Part 25: Batteries and chargers for powered wheelchairs

ISO 16840-10:2021 Wheelchair seating - Part 10: Resistance to ignition of postural support devices - Requirements and test method

IEC 60601-1-2:2020 Medical electrical equipment - Part 1-2: General requirements for safety - Collateral standard: Electromagnetic compatibility - Requirements and tests

Software Verification and Validation Testing

Software documentation including verification & validation was provided in accordance with FDA Guidance: Content of Premarket Submissions for Device Software Functions for software.

The Software Validation is in compliance with FDA Guidance.

8.0_Summary of Clinical Testing

No clinical study implemented for the electric wheelchair.

9.0 Technological Characteristic Comparison Table

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ItemProposed devicePredicate deviceRemark
Product CodeITIITISame
Regulation No.21 CFR 890.386021 CFR 890.3860Same
ClassIIIISame
Product namePowered WheelchairA08 Power Wheelchair-
510(k) No.K241529K163204-
ModelsNXN20-209A08-
Intended UseThe device is a motor driven,
indoor and outdoor
transportation vehicle with the
intended use to provide
mobility to a disabled or
elderly person limited to a
seated position.It is a motor driven, indoor and
outdoor transportation vehicle
with the intended use to
provide mobility to a disabled
or elderly person limited to a
seated position.Same
Use environmentIndoor and outdoor useIndoor and outdoor useSame
Patient
PopulationThis product is suitable for
disabled people with mobility
difficulties and elderly people.This product is suitable for
disabled people with mobility
difficulties and elderly people.Same
Product structureConsist of two foldable
armrests, a backrest, a seat
cushion, a safety belt, a
foldable frame, two rear
driving wheels with hub
motor/electromagnetic brake
assemblies, two pivoting
casters, two Li-ion batteries,
an off-board battery charger, a
control panel, and an electric
motor controller.Consists primarily of a
foldable welded-aluminum
frames, two sealed transaxle
motors drive system,
electromagnetic braking
system, electric motor
controller and two Li-ion
batteries with an off-board
battery charger.Similar
Driving systemDirect drive on the rear wheelsDirect drive on the rear wheelsSame
Movement control
methodBy Joystick controlBy Joystick controlSame
Number of
wheels44Same
Brake systemAutomatic electromagnetic
brake systemElectromagnetic
brake systemSame
Main frame
materialCarbon fiberWelded-aluminumDifferent
The differences in the
main frame material willot impact the safety and
effectiveness of the
substantial equivalence.
MotorBrushless motor,
DC24V* 200W*2pcsBrushless motor,
24 VDC *250W * 2 pcsMinor differences in the
dimensions will not
impact the safety and
effectiveness of the
substantial equivalence.
BatteryDC 24V 12Ah Lithium-ion, 2
pcs
Battery chargerOff-board charger
Input: 100-240 VAC
Output: DC 24V, 3A

Table1-General Comparison

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Table2 Performance Comparison

ItemSubject DevicePredicate DeviceRemark
ModelNXN20-209A08--
Overall length930mm890 mmMinor differences in the
dimensions will not impact
the safety and effectiveness
of the substantial
equivalence.
Overall width585mm603 mm
Stowage
length740mm324 mm
Stowage width265mm603 mm
Stowage
height720mm670 mm
Weight, w/
Battery30.3 lbs. /13.75 kg61.7 lbs. /28 kgThe difference will not raise
any new safety and
effectiveness concerns.
Front
wheel(inch)7
(PU solid tire)8
(PU solid tire)Smaller sizes of font wheels
Rear tire (inch)12
(PU solid tire)10
(PU solid tire)Larger sizes of rear wheels
bring steadier pivoting
function than predicate
device.
Cruising
Range(km)16.520The subject device complies
with ISO 7176-4: 2008
Wheelchairs - Part 4: Energy
consumption of electric
wheelchairs and scooters for
determination of theoretical
distance range, these
differences do not affect
safety and effectiveness.
Obstacle
climbing(mm)2540The smaller height in the
obstacle climbing will not
impact the safety and
effectiveness of the subject
device.
Static stability
forward18.9°Not publicly availableBoth of the devices are
evaluated according to
standard ISO 7176-1:2014,
so the different static stability
will not impact the safety
and effectiveness
Static stability
rearward18.2°
Static stability
sideways20.7°
Max. loading
(kg)242.5lbs(110kg)220 lbs (100 kg)More loading weight means
more convenient for the
transportation
Min. Turning
radium870mm800mmSame
Minimum
braking
distance$≤$ 1.76m1mSimilar
Max Speed
Forwards1.66 m/s (6 km/h)1.94m/s (7 km/h)The devices are evaluated
according to standard ISO
7176-6:2018, so the different
will not impact the safety
and effectiveness
Max. Speed
Backward0.8 m/s (2.88 km/h)Not publicly availableThe devices are evaluated
according to standard ISO
7176-6:2018, so the different
will not impact the safety
and effectiveness
ControllerYanteon Mechanical &
Electronic Technology
(Shanghai) Co. Ltd.
Joystick Y2450M
Controller Y2430MYisheng Electric Co. Ltd ,
WS-1, 40ADifferent
Although different controller
is used, both the control
system, including the joystick
controller, the
electromagnetic brakes and
the user interface are similar.
The joystick controls the
directions and speed of
movement, and when the
joystick is released, the
powered wheelchair will slow
down to stop and the brakes
will automatically re-engage.
The controller also provides
the battery status displaying
displaying. Both of the control
systems are evaluated
according to standard ISO
7176-14:2008 and software
validation requirement and
there are no new safety and
effectiveness concerns due
to the difference.
Speed control
methodJoystick control methodJoystick control methodSame

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10

Table3 Safety Comparison

ItemProposed DevicePredicate DeviceRemark
Materials
contacting userArmrest: PU;
Backrest/Seat/Seat belt:
Sandwich mesh fabric
(polyester)
Safety Belt: Nylon
Controller Housing: ABS
Joystick/button: Silicone
Footplates: ABSArmrest: PU;
Backrest/seat cushion: PU foam
covered by nylon fabric clothBiocompatibility evaluation
has been carried out per
ISO 10993-1. There are no
new safety and
effectiveness concerns due
to the difference.
Biocompatibility
of materials
contacting userComply with FDA GuidanceComply with ISO 10993-1, FDA
Guidance, Tests included
Cytotoxicity (ISO 10993-5:2009),
Sensitization and Intracutaneous
Reactivity (ISO 10993-10:2010)Same

Summary of substantial equivalence discussion:

The technological characteristics, features, specifications, materials, mode of operation, and intended use of the device substantially equivalent to the predicate devices quoted above. The differences between the subject device and predicate devices do not raise new issues of safety or effectiveness. The differences between the subject device and predicate devices do not raise new issues of safety or effectiveness.

10.0 Conclusion

The conclusions drawn from the comparison and analysis above demonstrate that the proposed device is as safe, as effective, and performs as well as the legally marketed predicated device under K163204.