K Number
K242982
Date Cleared
2025-01-31

(127 days)

Product Code
Regulation Number
890.3800
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

The subject device, Model MS160A scooter is mainly battery-powered and driven by a DC motor, with the speed adjusted by a user-controlled panel.

The motor is driven, and the speed is adjusted by a user-controlled panel and speed knob.

The scooter consists of two folding armrests, a seat cushion, a folding frame, two front wheels, two rear drive wheels with a motor/electromagnetic brake assembly, a rechargeable lithium-ion battery, an off-board battery charger, a control panel, and a motor controller.

The MS160A scooter is designed to provide mobility for people limited to those who walk unchanged or for the elderly.

Folding design: Pull out the seat and backrest fixing pins, push the backrest forward, the seat and backrest fold into each other, release the handlebar locking knob, push the handlebar backward, the handlebar folds down, the whole scooter is folded.

Control panel: Includes speed knob, battery gauge, power key switch, horn button, throttle control lever, headlight switch, charger port, fuse.

Wheel and frame connection method: the motor is connected to the differential, the differential is connected to the frame, the wheels are mounted on both ends of the differential, the motor rotates with the differential, thus driving the scooter.

Frame design:

  1. The frame of MS160A is aluminum alloy.
  2. The folding mechanism is operated in two ways:
    a. In the non-riding state, pull out the seat fixing pin, push the backrest forward, the seat and backrest can be folded.
    b. Loosen the handlebar locking knob, push the handlebar forward, the handlebar will fold down.

The front wheels of the scooter are 7 inches and the rear wheels are 10 inches.

The motor of the scooter is ST-62D24-120W; the lithium-ion battery is 25.55V 10.4AH; the charger is 24V/2A.

Max. loading cannot be over than 125kg.

The maximum distance travelled with a fully charged battery is 8.2km and the maximum forward speed is 1.8m/s.

Braking time is about 2 seconds, braking distance is ≤1.5 meters.

AI/ML Overview

The provided document (K242982 510(k) Summary for the Mobility Scooter (MS160A)) is a premarket notification to the FDA for a Mobility Scooter. This type of device is a physical product and not typically associated with AI/ML software or studies involving ground truth establishment by experts, multi-reader multi-case (MRMC) comparative effectiveness studies, or standalone algorithm performance.

Therefore, this document does not contain the information requested regarding acceptance criteria and study proving device meets acceptance criteria related to AI/ML product performance. The studies mentioned primarily confirm the device's compliance with physical safety and performance standards (e.g., ISO 7176 series for wheelchairs, biocompatibility).

Here's why the requested information cannot be extracted from this document:

  • Device Type: A mobility scooter is a mechanical device, not imaging or diagnostic software that would rely on AI/ML algorithms to generate results requiring expert consensus or ground truth establishment.
  • Study Types: The "non-clinical testing" section details adherence to established ISO standards for physical characteristics like stability, braking, dimensions, and biocompatibility. There is explicitly "No clinical study implemented for the scooter."
  • Acceptance Criteria: The "acceptance criteria" for this device are its ability to meet the performance specifications outlined in the ISO standards, and to be "substantially equivalent" to a predicate device based on physical and functional comparisons. These are not acceptance criteria for AI model performance metrics like sensitivity, specificity, or AUC, which would be relevant for devices that interpret data or images.
  • Ground Truth, Experts, Sample Sizes (for AI/ML): These concepts are entirely absent because they are not applicable to the type of device being submitted.

In summary, the provided document is for a physical medical device (mobility scooter) and does not involve AI/ML components or related performance studies that would utilize the concepts of ground truth, expert review, or statistical metrics like sensitivity/specificity for algorithm output.

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, with the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in large, bold, blue letters, and the word "ADMINISTRATION" in smaller, blue letters below that.

January 31, 2025

Suzhou Master Machinery Manufacturing Co., Ltd. % Boyle Wang Manager Shanghai Truthful Information Technology Co., Ltd. Room 1801, No. 161 East Lujiazui Rd., Pudong Shanghai, 200120 China

Re: K242982

Trade/Device Name: Mobility Scooter (MS160A) Regulation Number: 21 CFR 890.3800 Regulation Name: Motorized Three-Wheeled Vehicle Regulatory Class: Class II Product Code: INI Dated: January 3, 2025 Received: January 3, 2025

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.

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"

{1}------------------------------------------------

(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 OS 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 Rue"). 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-devices/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-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).

{2}------------------------------------------------

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

Enclosure

{3}------------------------------------------------

Indications for Use

Submission Number (if known)

K242982

Device Name

Mobility Scooter (MS160A)

Indications for Use (Describe)

It is a motor driven, indoor 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}------------------------------------------------

510(k) Summary

K242982

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: Suzhou Master Machinery Manufacturing Co., Ltd. Address: 2/F, Block B, No. 379, Delan Industrial Park, Zhangpu Town, Kunshan City, Jiangsu Province, China. Tel: 86-512-57452882 Fax: 86-512 - 57452992 Contact: Siqi.Shangquan Date of Preparation: Aug.09, 2024

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

2.0 Device information

Trade name: Mobility Scooter Common name: Scooter Classification name: Motorized Three-Wheeled Vehicle Model(s): MS160A

3.0 Classification

Production code: INI Regulation number: 21 CFR 890.3800 Classification: Class II Panel: Physical Medicine

4.0 Predicate device information

Manufacturer: Nanjing Jin Bai He Medical Apparatus Co., Ltd. Trade/Device: Scooter (Model: FDB01) 510(k) number: K201196

{5}------------------------------------------------

5.0 Indication for Use Statement

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.

6.0 Device description

The subject device, Model MS160A scooter is mainly battery-powered and driven by a DC motor, with the speed adjusted by a user-controlled panel.

The motor is driven, and the speed is adjusted by a user-controlled panel and speed knob.

The scooter consists of two folding armrests, a seat cushion, a folding frame, two front wheels, two rear drive wheels with a motor/electromagnetic brake assembly, a rechargeable lithium-ion battery, an off-board battery charger, a control panel, and a motor controller.

The MS160A scooter is designed to provide mobility for people limited to those who walk unchanged or for the elderly.

Folding design: Pull out the seat and backrest fixing pins, push the backrest forward, the seat and backrest fold into each other, release the handlebar locking knob, push the handlebar backward, the handlebar folds down, the whole scooter is folded.

Control panel: Includes speed knob, battery gauge, power key switch, horn button, throttle control lever, headlight switch, charger port, fuse.

Wheel and frame connection method: the motor is connected to the differential, the differential is connected to the frame, the wheels are mounted on both ends of the differential, the motor rotates with the differential, thus driving the scooter.

Frame design:

  1. The frame of MS160A is aluminum alloy.

  2. The folding mechanism is operated in two ways:

a. In the non-riding state, pull out the seat fixing pin, push the backrest forward, the seat and backrest can be folded.

b. Loosen the handlebar locking knob, push the handlebar forward, the handlebar will fold down.

The front wheels of the scooter are 7 inches and the rear wheels are 10 inches.

The motor of the scooter is ST-62D24-120W; the lithium-ion battery is 25.55V 10.4AH; the charger is 24V/2A.

Max. loading cannot be over than 125kg.

The maximum distance travelled with a fully charged battery is 8.2km and the maximum forward speed is 1.8m/s.

Braking time is about 2 seconds, braking distance is ≤1.5 meters.

{6}------------------------------------------------

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

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

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

EN 12184 :2014 Electrically powered wheelchairs, scooters and their chargers-Requirements and test methods

IEC 60601-1-2:2014 Medical electrical equipment - Part 1-2: General requirements for safety - Collateral standard: Electromagnetic compatibility - Requirements and tests IEC TR 60601-4-2 Medical electrical equipment – Part 4-2: Guidance and

interpretation – Electromagnetic immunity: performance of medical electrical equipment and medical electrical systems

Biocompatibility of patient-contacting parts

{7}------------------------------------------------

Patient-contacting material are carried out biocompatibility assessment in accordance with ISO 10993-1: 2018, including:

Cytotoxicity per ISO 10993-5:2009 Biological Evaluation of Medical Devices - Part 5: Tests For In Vitro Cytotoxicity

Skin Sensitization per ISO 10993-10:2021 Biological Evaluation of Medical Devices -Part 10: Tests For Skin Sensitization.

Irritation per ISO 10993-23:2021 Biological Evaluation of Medical Devices - Part 23: Tests For Irritation.

8.0 Summary of Clinical Testing

No clinical study implemented for the scooter.

9.0 Technological Characteristic Comparison Table

Table 1 - General Comparison
ItemSubject devicePredicate deviceK201196Remark
Product CodeINIINISame
Regulation No.21 CFR 890.380021 CFR 890.3800Same
ClassIIIISame
Product nameScooter (Model: MS160A)Scooter (Model: FDB01)-
510(k) No.K242982K201196-
IntendedUse/Indicationn for UseIt is a motor driven, indoor andoutdoor transportation vehiclewith the intended use to providemobility to a disabled or elderlyperson limited to a seatedposition.It is a motor driven, indoorand outdoor transportationvehicle with the intended useto provide mobility to adisabled or elderly personlimited to a seated position.Same
Use environmentIndoor and outdoor useIndoor and outdoor useSame
PatientPopulationThis product is suitable fordisabled people with mobilitydifficulties and elderly people.This product is suitable fordisabled people with mobilitydifficulties and elderly people.Same
Product structureIt has a base with frame, twofront wheels, two rear wheels,two anti-tip wheels, a seat, atiller, a control panel, an electricmotor, an electromagneticbrake, a rechargeableLithium-Ion Battery with acharger.It has a base with metal alloyframe, two front wheels, tworear wheels, two anti-tipwheels, a seat, an adjustablesteering column, a tillerconsole, an electric motor, anelectromagnetic brake, 2rechargeable Lithium-IonBattery with an off-boardSimilar

Table 1 - General Comparison

{8}------------------------------------------------

charger.
Driving systemDirect drive on the rear wheelsDirect drive on the rear wheelsSame
Number ofwheels44Same
Main framematerialAluminium alloyAluminium alloySame
MotorBrushless motor,DC24V * 120W * 1 pcsbrush differential rear axle.24V * 180WMinor differences in thedimensions will notimpact the safety andeffectiveness of thesubstantial equivalence.
BatteryDC 25.55V 10.4Ah Lithium-ion,1 pc24V 6AH Lithium-ion,2 pcs
Battery chargerOff-board chargerInput: 100-240 VACOutput: DC 24V, 2AOff-board chargerInput: 100-240 VACOutput: DC 24V, 6 Amp

Table 2 - Performance Comparison

ItemSubject DevicePredicate DeviceK201196Remark
Dimensions(mm)1000 x 540 x 9001050 x 550 x 870Minor differences in the dimensions will not impact the safety and effectiveness of the substantial equivalence.
Foldeddimensions(mm)1000 x 540 x 410480 x 550 x790Minor differences in the folded dimensions will not impact the safety and effectiveness of the substantial equivalence.
Weight, w/Battery48.5lbs. /22kg63.1lbs. /29 kgThe difference will not raise any new safety and effectiveness concerns.
Frame designFoldable/Electric scooter is driven byelectricity scooter, is atransportation tool and auxiliarytools for the purpose of walking,without removing the battery can befolded, easy to carry and storage.Foldable/Electric scooter is driven byelectricity scooter, is atransportation tool andauxiliary tools for thepurpose of walking, withoutremoving the battery can befolded, easy to carry andstorage.Same
SeatingDesignIn non-riding state, pull out the seatfixing pin, push forward thebackrest, the seat and backrest canbe folded.One-click foldingintelligent electric scooter,with a sensitive remotecontrol, gently press, theThe difference will not raise any new safety and effectiveness concerns.
Loosen the handlebar locking knob,push forward the handlebar, thehandlebar will be folded down.car automaticallycompleted foldingcontraction, folding volumesmall, electromagneticautomatic brake, the overallsimple design, convenientand practical, Travel does nothave to consume physicalforce to do folding, poorphysical strength and theelderly the best walkingtool.
SeatingAttachment -integrated,power base,specialtypowerWithout any seat accessories(integrated, power base, dedicatedpower supply)Without any seat accessories(integrated, power base,dedicated power supply)Same
FoldingmechanismA foldable seat frames(The backrest could be folded toseat)Seat can be folded; batterycan be dismantled; The framecan be folded back and forthSame
Frontwheel(inch)7(Solid tire)7(Solid tire)Same
Rear tire (inch)10(Solid tire)8(Solid tire)Larger size of rear wheelsbring steadier pivotingfunction than predicatedevice.
Anti-tip Wheels(inch)2.52.5Same
CruisingRange(km)8.2Not Publicly AvailableThe difference will not raiseany new safety andeffectiveness concerns.
Obstacleclimbing(mm)1560The smaller height in theobstacle climbing will notimpact the safety andeffectiveness of the subjectdevice.
Groundclearance94mm50mmThe device has been testedaccording to ISO7176 seriesstandards and the testrecords support its safety andeffectiveness.
Static stability40°30°Both of the devices are
forwardevaluated according to
Static stabilityrearward14.5°20.1°standard ISO 7176-1:2014,so the different static stability
Static stabilitysideways18°15.3°will not impact the safety andeffectiveness
Max. loading(kg)275lbs(125kg)265lbs (120kg)SimilarThe difference willnot raise any new safetyand effectivenessconcerns.
Maximum safeoperationalinclineMaximum safe operational inclinefor posteriorly is >40Maximum safe operational inclinefor anteriorly is 14.5°Maximum safe operational inclinefor sideways is 18°Maximum safe operationalincline for posteriorly is 20.1°Maximum safe operationalincline for anteriorly is 30°Maximum safe operationalincline for sideways is 15.3°Larger safe operationalincline of subject brings moreconvenient for the useenvironment
Min. Turningradium1500mm1200mmThe little difference in theturning radius will bring moreconvenience when it turns.The difference will not raiseany new safety andeffectiveness concerns.
Minimumbrakingdistance1.2m for the speed of 6.4km/h1 s1.1 m for the speed of 6km/h1 sSimilar
Max SpeedForwards1.8 m/s (6.4 km/h)1.67m/s (6 km/h)The devices are evaluatedaccording to standard ISO7176-6:2018, so the differentwill not impact the safetyand effectiveness
Max. SpeedBackward0.7 m/s (2.5 km/h)0.83m/s (3 km/h)The devices are evaluatedaccording to standard ISO7176-6:2018, so the differentwill not impact the safety andeffectiveness
ControllerYangzhou Jinnew ElectronicTechnology co., ltd.FY05-7-FBritish PG ControllerPG45AAlthough different controlleris used, both the controlsystem, including theelectromagnetic brakes andthe user interface are similar.Both devices have the sameuser interface, the patientuses the foldable tillerhandle/handlebar for steering
and a thumb operated
potentiometer throttle control
lever located at the top of the
tiller to engage and
disengage the scooter motion
in both the forward and
reverse directions. When the
throttle control lever is
released, the electromagnetic
brake will be actuated and
the scooter is slow to stop.
The speed mode of the both
devices was single mode and
the speed control dial can
control the maximum speed.
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.
WheelLock(type)Electromagnetic brakeElectromagnetic brakeSame

{9}------------------------------------------------

{10}------------------------------------------------

{11}------------------------------------------------

Table 3 - Safety Comparison

ItemProposed DevicePredicate DeviceRemark
Materialscontacting userHand grips: PVC;Armrest: PU Foamed;Biocompatibilityevaluation hasbeen carried outper ISO 10993-1.There are no newsafety andeffectivenessconcern due to thedifference.
Backrest (Back support): PVC, sponge;Backrest/seat: Leather package
Armrest (Arm support): PVC, sponge;Footplates: ABS plastics
Seat: PVC, sponge;
Foot support pad: PEVA;
Throttle controller lever: ABS.
Biocompatibilityof materialscontacting userComply with ISO 10993-1, FDAGuidance, Tests included:Comply with ISO 10993-1, FDAGuidance, Tests included:Same
Cytotoxicity (ISO 10993-5:2009),Cytotoxicity (ISO 10993-5:2009),
Skin Sensitization test (ISO10993-10:2021)Sensitization and IntracutaneousReactivity (ISO 10993-10:2010)
Intracutaneous Reacitivity Test (ISO10993-23:2021)

{12}------------------------------------------------

Summary of substantial equivalence discussion:

Despite of the above differences, the two devices all completed the performance tests in accordance with ISO 7176 series standards. There are no safety and effectiveness aspects concerned. In conclusion, 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 subject device K242982 is as safe, as effective, and performs as well as the legally marketed predicated device in K201196 and raises no new questions of safety or effectiveness. The differences between both devices are insignificant in terms of safety and effectiveness.

§ 890.3800 Motorized three-wheeled vehicle.

(a)
Identification. A motorized three-wheeled vehicle is a gasoline-fueled or battery-powered device intended for medical purposes that is used for outside transportation by disabled persons.(b)
Classification. Class II (performance standards).