K Number
K242308
Device Name
Power wheelchair
Date Cleared
2024-11-27

(114 days)

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

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.

Device Description

This product consists of frame, wheels, seat, armrest, lithium battery, motor and controller with a lightweight and compact design. The whole wheelchair can be folded by one button and it can be easily carried or rolled after folding. The seat cushion is detachable. The armrest can be flipped backward, which is convenient for the elderly to move. Users can drive the wheelchair by themselves through the control device. The wheelchair uses lithium batteries as its power source. The controls the drive left/right motor to realize the wheelchair forward, backward and turn functions. The frame of the device is carbon fiber. The front wheels are driven wheels suitable for rotation, acceleration, retrograde and other actions of the wheelchair. The front wheels movement will be achieved by thrust generated from the rear wheels. The rear wheels are driving wheels to control the speed and direction. The wheels are Solid PU tires. When in use, the operator drives the motor of the rear wheel by operating the joystick to achieve the rear wheels movement. The DC brushless motor and brake system are fixed on the rear wheels. The max loading of the device is 136KG. Only for one person sit.

AI/ML Overview

This document is an FDA 510(k) Premarket Notification for a Power Wheelchair (Model N6102). It aims to demonstrate substantial equivalence to a predicate device (K230964). Since this is a submission for a physical medical device (a power wheelchair) and not a software/AI-driven diagnostic or therapeutic device, the concepts of acceptance criteria, test sets, ground truth establishment, expert adjudication, MRMC studies, and separate training/test sets are not applicable in the context of typical AI/ML device evaluations.

The "acceptance criteria" and "study that proves the device meets the acceptance criteria" for a power wheelchair primarily revolve around compliance with recognized performance and safety standards (ISO 7176 series, IEC 60601-1-2, ISO 10993 series) and demonstrating that any differences from a predicate device do not raise new safety or effectiveness concerns.

Here's how to interpret the provided information in the context of device acceptance, organized to address your prompt's structure where applicable, but noting the non-applicability of certain AI/ML-specific terms:

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

The document provides a comparison of the proposed device against a predicate device, largely referencing compliance with international standards. The "acceptance criteria" are implied by these standards and the "reported device performance" is the statement of compliance or comparison to the predicate.

Acceptance Criteria (Implied by Standard/Predicate)Reported Device Performance (Subject Device)Discussion/Remark (from document)
General Characteristics
ClassificationClass IISame
Product CodeITISame
Indications for UseMotor driven, indoor/outdoor transportation for disabled/elderly limited to seated position.S.E. (Substantially Equivalent)
Intended UserDisabled or elderly person limited to a seated position.S.E.
Use ConditionIndoor and outdoor useS.E.
Driving SystemDirect drive on the rear wheelsS.E.
Brake SystemAutomatic electromagnetic brake systemS.E.
Armrest MaterialT700 (Predicate)Carbon fibers
Main Frame MaterialCarbon fiber materialCarbon fiber material
Back Cushion MaterialPolyester fabric (Predicate)Polyester fiber
Seat Cushion MaterialPolyester fiberPolyester fiber
Number of Wheels4 (two front, two rear)4 (two front, two rear)
Function of WheelsFront: driven for rotation, acceleration, retrograde; Rear: driving for speed/direction.Same
Movement ControlBy Joystick controlBy Joystick control
Battery (Type & Specs)li-ion battery pack, 24V, 10Ahli-ion battery pack, 24V, 10Ah
Battery Charger (Type & Specs)Off-board, Input: 100-240V, 50/60Hz, 1.5A; Output: 24Vdc, 2ASame
Motor (Type & Specs)Brushless DC motor; 24VDC; 150W; 2pcsBrushless Eco-Drive, 24V, 150W, 2pcs
Electronic ControllerBrushless dual-drive rocker controllerBrushless dual-drive rocker controller
Turning Radius900mm900mm
Performance Characteristics
Braking Distance≤1.5 m (Predicate)780mm
Maximum Safe Operational Incline Degree
Overall Dimension (LWH)900580860mm (Predicate)950610960mm
Front Wheel Size/Type7" x 1.75"/PU Solid tire (Predicate)7" x 1.78"/PU Solid tire (180mm x 45mm)
Rear Wheel Size/Type8.5" x 1.8"/PU Solid tire (Predicate)9" x 2"/PU Solid tire (230mm x 50mm)
Max Speed ForwardUp to 6 km/h (1.6 m/s), adjustable (Predicate)1.54 m/s (5.5km/h)
Max Loading Weight110kg (≈250lbs) (Predicate)136kg (≈300lbs)
Maximum Distance of Travel on Fully Charged Battery10 km (Predicate)16.1km
Maximum Obstacle Climbing40 mm (Predicate)25mm
Safety & Compliance (Implied by Standards)
BiocompatibilityISO10993-5, ISO10993-10, ISO10993-23 requirementsCompliance with ISO10993-5, ISO10993-10, ISO10993-23
EMC PerformanceISO7176-21 and IEC 60601-1-2Compliant with ISO7176-21 and IEC 60601-1-2
General PerformanceISO7176 seriesCompliant with ISO7176 series
Label and LabelingConforms to FDA RegulatoryConforms to FDA Regulatory
Specific ISO Standard Compliance
ISO 7176-1 (Static Stability)Meets design specificationMeets design specification
ISO 7176-2 (Dynamic Stability)Meets design specificationMeets design specification
ISO 7176-3 (Brakes Effectiveness)Meets design specificationMeets design specification
ISO 7176-4 (Theoretical Distance Range)Meets design specificationMeets design specification
ISO 7176-5 (Dimensions, Mass)Determined/MeetsDetermined/Meets
ISO 7176-6 (Dimensions, Mass)Determined/MeetsDetermined/Meets
ISO 7176-7 (Seating & Wheel Dimensions)Determined/MeetsDetermined/Meets
ISO 7176-8 (Requirements)All test results meet requirementsAll test results meet requirements
ISO 7176-9 (Dynamic Tests)Continue to function after testsContinue to function after tests
ISO 7176-10 (Obstacle-climbing ability)Determined/MeetsDetermined/Meets
ISO 7176-11 (Test Dummies)Meet requirementsMeet requirements
ISO 7176-13 (Coefficient of Friction)Determined for use in other 7176 series testsDetermined for use in other 7176 series tests
ISO 7176-14 (Requirements)All test results meet requirementsAll test results meet requirements
ISO 7176-15 (Information Disclosure, Labeling)Meets requirementsMeets requirements
ISO 16840-10:2021 (Fire Resistance)Performance meets requirementsPerformance meets requirements
ISO 7176-25 (Batteries and Charger)Performance meets requirementsPerformance meets requirements

2. Sample sizes used for the test set and the data provenance

This information is not provided as it's not relevant for a direct testing of a physical device against standards (e.g., you test a specific number of manufactured units or prototypes for compliance, not a "data set"). The provenance isn't applicable in the same way either; the tests are performed on the device.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

Not applicable. "Ground truth" in the context of device performance is established by the specified ISO standards and validated test methods (e.g., a test rig for stability or braking) and direct measurements. It doesn't rely on expert consensus in the same way an AI diagnostic image reading might.

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

Not applicable. As above, the "truth" is determined by objective measurements against engineering standards, not through a consensus of human interpretative results.

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

Not applicable. This study is for a physical power wheelchair, not an AI software. There are no "human readers" or "AI assistance" in its intended function or evaluation.

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

Not applicable. This device does not contain an algorithm in this context. Its "performance" is mechanical and electrical, not computational.

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

The "ground truth" for this device's performance is derived from:

  • International Standards: Primarily the ISO 7176 series, IEC 60601-1-2, and ISO 10993 series, which define objective test methods and acceptable performance limits for wheelchairs.
  • Engineering Specifications: The design specifications for the device itself (e.g., max speed, loading weight, dimensions).
  • Physical Testing: Direct physical measurements and tests on the device (e.g., dynamic stability tests, braking distance tests, obstacle climbing tests).

8. The sample size for the training set

Not applicable. This is a physical device, not an AI/ML model that requires a training set.

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

Not applicable. See point 8.

In summary, the "study" proving the device meets the "acceptance criteria" is a series of engineering tests and analyses demonstrating compliance with relevant international performance and safety standards for power wheelchairs, and a comparison to a legally marketed predicate device to demonstrate substantial equivalence. The differences noted (e.g., slightly different dimensions, braking distance, max loading weight, travel distance, obstacle climbing) are all deemed not to raise new safety or effectiveness concerns, with testing conducted to confirm compliance with the applicable standards even with these differences (e.g., "All safety and performance have been validated with the maximum rated weight dummy").

§ 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).