K Number
K242252
Device Name
Power Wheelchair
Date Cleared
2024-12-27

(149 days)

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

The power wheelchair 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 power wheelchair, model name: DC01, DC02, DC03, DC05, DC06, DC07L, DC08L, DC09L, DC10L, is an indoor/outdoor, foldable, battery-operated 2-wheel (rear-wheel drive) powered wheelchair. It consists of two parts: the electrical part and the wheelchair main body. The electric part includes brushless motor, electromagnetic brake system, controller, rechargeable Lithium-lon battery and off-board battery charger. The main parts of the wheelchair include front wheels, rear wheels, frame, armrest, backrest and seat cushion. The control system, including the controller handle (joystick), is equipped on the control pad that attaches to the one of the arm rests. When the joystick is released, the electromagnetic brakes will be actuated, and the power wheelchair is slowed to a stop. The power wheelchair, model name: DC01, DC02, DC03, DC05, DC06, DC07L, DC08L, DC09L, DC10L, can be controlled by joystick or remote controller via Bluetooth Low Energy (BLE) wireless communication interface. The user can lock and unlock the device remotely via the BLE interface using the remote controller. For safety, controller rocker control is priority over the remote control by design. The wheelchair can be folded/expanded manually. The Left and right handrails (joystick) can be interchange.

AI/ML Overview

The provided text describes a 510(k) submission for a power wheelchair and does not contain information about acceptance criteria and a study that proves a device meets those criteria in the context of an AI/ML medical device.

The document is a letter from the FDA regarding a premarket notification for a Power Wheelchair. It focuses on the substantial equivalence of the proposed device to legally marketed predicate devices based on non-clinical performance testing (bench testing), adherence to ISO standards for wheelchairs, and material biocompatibility.

Therefore, I cannot extract the requested information (such as AI/ML performance metrics, sample sizes for test/training sets, expert qualifications, adjudication methods, or MRMC studies) because the document does not pertain to an AI/ML device study.

The closest information available is related to non-clinical performance testing for the physical safety and performance of a wheelchair, not an AI/ML algorithm.

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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 features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

December 27, 2024

Anhui JBH Medical Apparatus Co., Ltd. % Ivy Wang Technical Manager Shanghai SUNGO Management Consulting Co., Ltd. Room 1 401 , Dongfang Building, 1500# Century Ave. Shanghai. 200122 China

Re: K242252

Trade/Device Name: Power Wheelchair Regulation Number: 21 CFR 890.3860 Regulation Name: Powered Wheelchair Regulatory Class: Class II Product Code: ITI Dated: November 25, 2024 Received: November 25, 2024

Dear Ivy 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.

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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

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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,

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

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Indications for Use

Submission Number (if known)

K242252

Device Name

Power Wheelchair

Indications for Use (Describe)

The power wheelchair 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)

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510(k) Summary

K242252

l. SUBMITTER

Name: Anhui JBH Medical Apparatus Co., Ltd.

Address: No. 116 Qicang Road, Industrial District, Ming Guang City, Chuzhou, Anhui, China

Name of contact person: Wei Yuanwei

Telephone: +86-0550-8108866

Fax: +86-0550-8106688

Email: +86-0550-8106688

Date prepared: 2024-11-18

II. Device

Device trade name: Power wheelchair

Model: DC01, DC02, DC03, DC05, DC06, DC07L, DC08L, DC09L, DC10L

Classification name: Powered wheelchair

Regulation class: 2

Regulation number: 21CFR 890.3860

Panel: Physical Medicine

Product code: ITI

III.Predicatedevice
-------------------------
Predicate deviceReference device
K212092K223393
Portable Folding Electric Wheelchair (Model: DC01)Electric Wheelchair (Model: BBR-LY-01-01)
Anhui JBH Medical Apparatus Co., LtdShanghai BangBang Robotics Co., Ltd.

IV. Device description

The power wheelchair, model name: DC01, DC02, DC03, DC05, DC06, DC07L, DC08L, DC09L, DC10L, is an indoor/outdoor, foldable, battery-operated 2-wheel (rear-wheel drive)

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powered wheelchair. It consists of two parts: the electrical part and the wheelchair main body. The electric part includes brushless motor, electromagnetic brake system, controller, rechargeable Lithium-lon battery and off-board battery charger. The main parts of the wheelchair include front wheels, rear wheels, frame, armrest, backrest and seat cushion.

The control system, including the controller handle (joystick), is equipped on the control pad that attaches to the one of the arm rests. When the joystick is released, the electromagnetic brakes will be actuated, and the power wheelchair is slowed to a stop.

The power wheelchair, model name: DC01, DC02, DC03, DC05, DC06, DC07L, DC08L, DC09L, DC10L, can be controlled by joystick or remote controller via Bluetooth Low Energy (BLE) wireless communication interface. The user can lock and unlock the device remotely via the BLE interface using the remote controller. For safety, controller rocker control is priority over the remote control by design.

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

V. Indication for use

The power wheelchair 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.

VI. Comparison of technological characteristics with the predicate device

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General Comparison

AttributeSubject devicePredicate deviceReference deviceDiscussion/Conclusion
ManufacturerAnhui JBH Medical ApparatusCo., Ltd.Anhui JBH Medical ApparatusCo., Ltd.Shanghai BangBang Robotics /Co., Ltd./
Proprietaryname, modelPower WheelchairDC01, DC02, DC03, DC05,DC06, DC07L, DC08L, DC09L,DC10Lpower wheelchair, DC01Electric Wheelchair(Model: BBR-LY-01-01)/
510(k) numberTBDK212092K223393/
DeviceclassificationnameClass IIClass IIClass IISame
Classificationregulations21 CFR 890.386021 CFR 890.386021 CFR 890.3860Same
Product codeITIITIITISame
Indication foruseThe Power wheelchair is a motordriven, indoor and outdoortransportation vehicle with theintended use to provide mobilityto a disabled or elderly personlimited to a seated position.The wheelchair (Model: DC01) isa motor driven, indoor andoutdoor transportation vehiclewith the intended use to providemobility to a disabled or elderlyperson limited to a seatedposition.The intended use of theElectric Wheelchair (Model:BBR-LY-01-01) is to provideoutdoor and indoor mobility topersons limited to a seatedposition that are capable ofoperating a poweredwheelchair.Same
Intended userdisabled or elderly personlimited to a seated positiondisabled or elderly personlimited to a seated positiondisabled or elderly personlimited to a seated positionSame
Use conditionindoor and outdoor useindoor and outdoor useindoor and outdoor useSame
Type of useOTCOTCOTCSame

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Basic Parameters Comparison

AttributeSubject devicePredicate deviceReference deviceDiscussion/Conclusion
Device length875mm – 1050mm875mm1075mmMinor difference ondimension do not affectsafety and effectiveness. Allsafety and performancehave been validated withthe maximum rated weightdummy.
Device Width757mm – 665mm620mm628mm
Stowage Length575mm – 1013mm750mm895mm
Stowage width280mm – 620mm400mm628mm
Stowage height715mm -850mm800mm395mm
Groundclearance40mm - 137mm100 mm64mmMinor difference on groundclearance do not affecteffectiveness and safetyperformance. All safety andperformance have beenvalidated with the maximumrated weight dummy.
Number ofwheels444Same
Front wheelsize/type7" /PU Solid tire7" /PU Solid tire10 inlarger size of driven wheelwill provide better stability
Rearwheelsize/type8" /PU Solid tire for DC01,DC02, DC05, DC07L,DC08L, DC09L, DC10L12" /PU Solid tire for DC03,DC068" /PU Solid tire10 inand safety performance
FunctionofwheelsFront wheels: driven wheelssuitable for rotation,acceleration, retrogradeRear wheels: driving wheelsto control the speed anddirectionFront wheels: driven wheelssuitable for rotation,acceleration, retrogradeRear wheels: driving wheels tocontrol the speed and directionFront wheels: driven wheelssuitable for rotation,acceleration, retrogradeRear wheels: driving wheels tocontrol the speed and directionSame
Frame designThe frame of the wheelchairis type capable of front andrear close. The main part ofthe frame can be folded forsaving space and convenientstorage and transportation.The frame of the wheelchair istype capable of front and rearclose. The main part of theframe can be folded for savingspace and convenient storageand transportation.The frame of the wheelchair istype capable of front and rearclose.Same
FoldingmechanismManually fold/ expandManually fold/ expandAutomaticallyfold/expanddrove by motorSame
Movementcontrol methodBy Joystick control andBluetooth remote controllerBy Joystick controlBy Joystick control andBluetooth smartphone appcontrolSame with referencedevice, has one morecontrol method throughBluetooth.
Driving systemDirect drive on the rearwheelsDirect drive on the rear wheelsDirect drive on the rear wheelsSame
Brake systemIntelligent electromagneticbrake systemIntelligent regenerativeElectromagnetic brakeElectromagneticSame
Max speedforwardUp to 6 km/h (3.75 mph),continuously adjustableUp to 6 km/h (3.75 mph),variable6km/hSame
Main framematerialCarbon fiberCarbon fiberNot applicableSame
Armrest cushionPolyurethane (PU)Polyurethane (PU)Not applicableSame
Speed settings555Same
Differences
Batteryli-ion battery; rechargeable,24 VDC 12Ah/ 6Ah*2Li-ion, Rechargeable; 24 VDC20Ah1 rechargeablebatteryRatings: 24 V 20Ahlithium-ion Same rated voltage withdifferent power capacity,both batteries are testedaccording to IEC62133-2,this difference will not affectthe safety and performanceof the subject device.
Maximumdistance of travelon the fullycharged battery23 km for model DC0620 km for model DC01,DC02, DC03, DC05, DC07L,DC08L, DC09L, DC10L20 km20.6 kmMinor difference on traveldistance will not causedifferent performance. Thisdifference will not raise anynew safety andeffectiveness concerns.
Battery chargerOff-board chargerOff-board chargerInput: 100-240VAC50-60Hz 1.9AOutput: 24V 4AMore wide range of inputvoltage in the device whichwill not cause new safetyand effectiveness concernsraised.
Input: 100-240Vac, 50/60Hz,1.5AOutput: 24 Vdc, 2AFor models DC01, DC02,DC03, DC05, DC06Input: 100V- 240Vac,50/60Hz, 1.7AOutput: DC 29.4V, 2AFor models DC07L, DC08L,DC09L, DC10LInput: 100-240V, 50/60Hz, 1.5AOutput: 24 Vdc, 2A
Minimum brakingdistance frommaximum speedForward: <1mForward:0.5m1.2mMinor difference on brakingdistance will not raise anynew safety andeffectiveness concerns.
Max loadingweight120kg for models DC01,DC02, DC03, DC05150kg for DC06, DC07L,DC08L, DC09L, DC10L120kg120kgMinor difference on loadingweight will not causedifferent performance. moreloading weight provide moreconvenient and stableperformance for thetransportation.
Maximum safeoperationalincline degree8 °8 °6 °Same
MotorBrush motor; 24VDC; 250W/;2pcs for DC03, DC06Brush motor; 24VDC; 180W/;2pcs for DC01, DC02, DC05, DC07L, DC08L, DC09L, DC10LBrushless DC motor; 24 VDC;180 W; 2 pcsNot applicableminor difference on motorpower will not cause different performance.larger power will provide more driving force, no safety and effectivenessconcerns raised. In addition, although brush motor andbrushless motor has some difference, while all safetyand performance tests are performed, it will not affectthe difference on clinical use.
ElectroniccontrollerDual Drive Controller forBrushless MotorDual Drive Controller forBrushless MotorNot applicableSame
RemotecontrollerVia BluetoothN/AVia BluetoothSame with reference device

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Wireless RF frequency range2.402 GHz to 2.480 GHzN/A2.400GHz ~ 2.4835GHzMinor difference on the frequency range, however subject device complies with FCC 47 CFR 15.247 and RF exposure requirements, and ISO 7176-12:2009 Wheelchairs - Part 9: Climatic tests for electric wheelchairs, these differences do not affect safety and effectiveness.
Wireless operation range10mN/A10mSame with reference device
Turning RadiusDC01, DC07L - 450mmDC08L, DC09L, DC10L: 700mmDC02: 750mmDC03: 800mmDC05: 825mmDC06: 850mm800 mm760mmThe minor difference in the turning radius is caused by different size of wheelchair and may cause a little bit inconvenience when it turns in a narrow space while the minor difference will not raise any new safety and effectiveness concerns.

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Maximumobstacle climbing20 mm for models DC01,DC05, DC07L, DC08L,DC09L, DC10L25mm for DC02, DC0340mm for DC0620 mm45mmMinor difference in theobstacle climbing will notimpact the safety andeffectiveness of the subjectdevice.
seat cushion/back cushionmesh fabric + spongelinen cloth filled with PUfoamNot applicabledifferent material used forparts in contact with user,which such differences willnot impact the safety andeffectiveness of the subjectdevice as biocompatibilitytests are carried outaccording to ISO 10993series.

Safety comparison

AttributeSubject devicePredicate deviceReference deviceDiscussion/Conclusion
BiocompatibilityAll user directly contactingmaterials are compliance withISO 10993-1All user directly contactingmaterials are compliance withISO 10993-1All user directly contactingmaterials are compliance withISO 10993-1Same
EMCISO 7176-21 & IEC60601-1-2ISO 7176-21 & IEC60601-1-2ISO 7176-21 & IEC60601-1-2Same
PerformanceISO 7176 seriesISO 16840-10ISO 7176 seriesISO 16840-10ISO 7176 seriesISO 16840-10Same
LabelingConforms to FDA RegulatoryConforms to FDA RegulatoryConforms to FDA RegulatorySame

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VII. Summary of substantial equivalence discussion

The proposed device and predicate device are complying to the same ISO standards, ISO 7176-1:2014, ISO 7176-2:2017, ISO 7176-3:2012, ISO 7176-4:2008, ISO 7176-5:2008, ISO 7176-6:2018, ISO 7176-7:1998, ISO 7176-8:2014, ISO 7176-9:2009, ISO 7176-10:2008, ISO 7176-11:2008, ISO 7176-13:1989, ISO 7176-14:2022, ISO 7176-15:1996, ISO 16840-10:2021, ISO 7176-21:2009, ISO 7176-22:2014, ISO 7176-25:2013, IEC 60601-1-2: 2020 and FDA guidance submission for power wheelchair.

The proposed device performs in a similar manner to the predicate device. All these tests have corresponding requirements/ control criteria following above mentioned standards. And the test results show that the subject product is substantially equivalent to the predicate device in performance.

The performance testing demonstrates that the subject device is substantially equivalent to the predicate devices regarding Static ability, The Dynamic stability, Brake performance, Theoretical distance range, Dimension and weight, Maximum speed, Dimension of wheel Static, impact and fatigue strengths, Climatic tests, Obstacle-climbing ability, Dummy, friction of test surfaces, Power and control systems, Documentation and labeling, Resistance to ignition, Electromagnetic Compatibility and Electrical Safety, Batteries and chargers.

The biocompatibility of the Predicate device and Subject device meet the requirements of the ISO 10993-5:2009 & ISO10993-10:2010/ ISO 10993-23:2021. Although the standard version updated, test methods for the subject device and the predicate device are same.

The proposed device has additional Bluetooth remote control way to operated the wheelchair which is different with the predicate device, while is substantially equivalent to the reference device. Although the remote-control tool is different, the Bluetooth skill is the same. The cybersecurity has been validated to be effective and do not raise new issues of safety or effectiveness.

The non-clinical laboratory data support the safety and performance of the subject device and demonstrate that the subject device should perform as intended in the specified use conditions.

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VIII. Summary of non-clinical testing

> Performance testing-bench

The following performance data were provided to verify that the subject device met all design specifications and provided support of the substantial equivalence determination.

  • . Risk Analysis developed in accordance with ISO 14971: 2019.
  • . Software validation
  • . ISO 7176-1:2014 Wheelchairs - Part 1: Determination of static stability
  • ISO 7176-2:2017 Wheelchairs - Part 2: Determination of dynamic stability of electric 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 dimensions, mass and maneuvering 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 strength
  • 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 7176-14:2022 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.

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  • . ISO 16840-10:2021 Wheelchair seating - Part 10: Resistance to ignition of postural support devices - Requirements and test method.
  • . ISO 7176-21:2009 Wheelchairs - Requirements and test methods for electromagnetic compatibility of electrically powered wheelchairs and scooters
  • . Electromagnetic Compatibility Testing in accordance with IEC 60601-1-2:2020.

Biocompatibility of patient-contacting material A

Biocompatibility Tests are carried out in accordance with ISO 10993-1: 2018, including cytotoxicity (ISO 10993-5:2009), sensitization (ISO 10993-10:2021) and irritation (ISO 10993-23: 2021). Details of the test summary see biocompatibility summary.

IX. Summary of clinical testing

No animal study and clinical studies are available for our device. Clinical testing was not required to demonstrate the substantial equivalence of the power wheelchair to its predicate device.

X. Conclusions

The conclusion drawn from the nonclinical tests demonstrate that the subject device is as safe, as effective, and performs as well as the legally marketed predicate device K212092.

§ 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).