K Number
K242722
Device Name
Manual Wheelchair (MASY23)
Date Cleared
2024-11-22

(73 days)

Product Code
Regulation Number
890.3850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Manual Wheelchair is to provide mobility to persons limited to a sitting position.
Device Description
The MASY23 manual wheelchair is a mechanical wheelchair which is a manually operated, attendant and self-propelled transport device in a health care environment such as a hospital, nursing home or extended care facility. It is intended for medical purpose to provide mobility to persons limited to a sitting position. It can be folded for transport by bring two sides together. The MASY23 Manual Wheelchair incorporates a main frame, a seat, two hand rims and four wheels. The wheelchair is designed with two small rear wheels and two gearing with hand rim, it can be manually moved forward and in reverse. The wheelchair can support users of up to 136 kg.
More Information

No
The device description and performance studies focus on mechanical and material properties, with no mention of AI or ML.

Yes
The device is intended to provide mobility to persons limited to a sitting position, which qualifies it as a therapeutic device as it aids in restoring or improving a physiological function (mobility).

No

Explanation: The device is a manual wheelchair, described as a transport device to provide mobility. Its intended use and description do not involve diagnosing any medical condition or disease.

No

The device description clearly states it is a mechanical wheelchair with physical components like a frame, seat, wheels, and hand rims, and the performance studies focus on physical and material properties, not software.

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

Here's why:

  • Definition of IVD: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Function: The MASY23 manual wheelchair is a mechanical device used for mobility. It provides physical support and transportation for individuals with limited mobility. It does not involve the analysis of biological specimens.
  • Intended Use: The intended use is to "provide mobility to persons limited to a sitting position." This is a physical function, not a diagnostic one.
  • Device Description: The description details the mechanical components of the wheelchair. There is no mention of any components or processes related to analyzing biological samples.
  • Lack of IVD-related information: The document does not contain any information typically associated with IVDs, such as:
    • Mention of biological specimens (blood, urine, etc.)
    • Mention of assays, reagents, or testing procedures
    • Performance metrics like sensitivity, specificity, or AUC (which are relevant to diagnostic accuracy)

The testing described (ISO standards for stability, strength, etc., and biocompatibility) are relevant to the safety and performance of a physical medical device, not an IVD.

N/A

Intended Use / Indications for Use

The Manual Wheelchair is to provide mobility to persons limited to a sitting position.

Product codes

IOR

Device Description

The MASY23 manual wheelchair is a mechanical wheelchair which is a manually operated, attendant and self-propelled transport device in a health care environment such as a hospital, nursing home or extended care facility. It is intended for medical purpose to provide mobility to persons limited to a sitting position. It can be folded for transport by bring two sides together.

The MASY23 Manual Wheelchair incorporates a main frame, a seat, two hand rims and four wheels. The wheelchair is designed with two small rear wheels and two gearing with hand rim, it can be manually moved forward and in reverse. The wheelchair can support users of up to 136 kg.

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

health care environment such as a hospital, nursing home or extended care facility.

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

Non-clinical tests were conducted to verify that the subject device met all design specifications and provided support of the substantial equivalence determination. 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 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 strength
• 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 16840-10:2021 Wheelchair seating - Part 10: Resistance to ignition of postural support devices - Requirements and test method.

Bio-Compatibility tests were conducted to verify that the safety requirements, and the following standards were complied:

ISO10993-5 Biological evaluations of medical devices --- Part 5: Tests for In Vitro cytotoxicity
• ISO 10993-10 Biological evaluation of medical devices Part 10: Tests for skin sensitization
ISO 10993-23 Biological evaluation of medical devices - Part 23: Tests for irritation

The clinical data is not applicable.

Key Metrics

Not Found

Predicate Device(s)

K231750

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

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" in blue, and "ADMINISTRATION" in a smaller font size below.

November 22, 2024

Sichuan AST Medical Equipment Co., Ltd Ivy Wang Technical Manager Shanghai SUNGO Management Consulting Co., Ltd. 14th Floor, Dongfang Building, 1500# Century Ave Shanghai, Shanghai 200122 China

Re: K242722

Trade/Device Name: Manual Wheelchair (MASY23) Regulation Number: 21 CFR 890.3850 Regulation Name: Mechanical Wheelchair Regulatory Class: Class I, reserved Product Code: IOR Dated: November 15, 2024 Received: November 15, 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.

1

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

or Use

Submission Number (if known)

K242722

Device Name

Manual Wheelchair (MASY23)

Indications for Use (Describe)

The 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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4

510(k) #:510(k) SummaryPrepared on: 2024-09-09
Contact Details21 CFR 807.92(a)(1)
Applicant NameSichuan AST Medical Equipment Co., Ltd
Applicant AddressNo.58 JinPeng Road, Area C, West Industrial Park, Luxian County Luzhou Sichuan 646100 China
Applicant Contact Telephone+86-830-8130333
Applicant ContactMs. Mae Tse
Applicant Contact Emailsales01@ast168.cn
Correspondent NameShanghai SUNGO Management Consulting Co., Ltd.
Correspondent Address14th Floor, Dongfang Building, 1500# Century Ave Shanghai Shanghai 200122 China
Correspondent Contact Telephone+86-58817802
Correspondent ContactMs. Ivy Wang
Correspondent Contact Emailhaiyu.wang@sungoglobal.com
Device Name21 CFR 807.92(a)(2)
Device Trade NameManual Wheelchair (MASY23)
Common NameMechanical wheelchair
Classification NameWheelchair, Mechanical
Regulation Number890.3850
Product Code(s)IOR
Legally Marketed Predicate Devices21 CFR 807.92(a)(3)
Predicate #Predicate Trade Name (Primary Predicate is listed first)
K231750MS019 Steel wheelchair
Product Code
IOR
Device Description Summary21 CFR 807.92(a)(4)
The MASY23 manual wheelchair is a mechanical wheelchair which is a manually operated, attendant and self-propelled transport device in a health care environment such as a hospital, nursing home or extended care facility. It is intended for medical purpose to provide

in a health care environment such as a hospital, nursing home or extended care facility. It is intended for medical purpose to provide mobility to persons limited to a sitting position. It can be folded for transport by bring two sides together.

The MASY23 Manual Wheelchair incorporates a main frame, a seat, two hand rims and four wheels. The wheelchair is designed with two small rear wheels and two gearing with hand rim, it can be manually moved forward and in reverse. The wheelchair can support users of up to 136 kg.

Intended Use/Indications for Use

5

The Manual Wheelchair is to provide mobility to persons limited to a sitting position.

Indications for Use Comparison

The proposed device has same indications for use to the predicate device.

Technological Comparison

The design and technological characteristics of the subject device is basically similar to the predicate device chosen. The difference between the predicate and subject device add a handrim to the frame to make the occupant driving the wheelchair by himself. This is similar to the traditional manual wheelchair which will not raise safety or effectiveness of the subject device. These minor differences with the predicate device don't affect the safety or effectiveness of the norclinical tests and the predicate comparisons demonstrate that these differences in their technological characteristics do not raise any questions as to the safety and effectiveness.

Therefore, the subject device is substantially equivalent to the predicate device.

Non-Clinical and/or Clinical Tests Summary & Conclusions 21 CFR 807.92(b)

Non-clinical tests were conducted to verify that the subject device met all design specifications and provided support of the substantial equivalence determination. 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 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 strength
    • 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 16840-10:2021 Wheelchair seating - Part 10: Resistance to ignition of postural

support devices - Requirements and test method.

Bio-Compatibility tests were conducted to verify that the safety requirements, and the following standards were complied:

ISO10993-5 Biological evaluations of medical devices --- Part 5: Tests for In Vitro cytotoxicity

  • ISO 10993-10 Biological evaluation of medical devices Part 10: Tests for skin sensitization
    ISO 10993-23 Biological evaluation of medical devices - Part 23: Tests for irritation

The clinical data is not applicable.

The conclusions drawn from the nonclinical tests demonstrate that the subject device is as safe, as well as the legally marketed predicate device K231750.

21 CFR 807.92(a)(5)

21 CFR 807.92(a)(6)