K Number
K244003
Date Cleared
2025-03-26

(90 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 entire wheelchair can be disassembled, making it easy to carry. The wheelchair comes equipped with an electronically controlled rising seat that allows the user 280mm/11" of seat height adjustment using the joystick. The armrest can be flipped upside down, which is convenient for the elderly to move. Users can drive the wheelchair by themselves through the control device. The wheelchair uses lead-acid Battery as its power source. The controls the drive leftright motor to realize the wheelchair forward, backward and turn functions. The frame of the device is carbon steel. The front wheels suitable for rotation, acceleration, retrograde and other actions of the wheels movement will be achieved by thrust generated from 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 controller 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

The provided text is a 510(k) summary for an electrically powered wheelchair. It focuses on demonstrating substantial equivalence to a predicate device rather than presenting a study with specific acceptance criteria and detailed device performance metrics in the format requested.

Therefore, many of the requested elements of information, such as sample sizes, data provenance, expert qualifications, and MRMC study details, are not applicable or not available in this type of document, as it describes the testing and comparison of a physical medical device (a wheelchair) rather than a diagnostic AI algorithm.

However, I can extract the acceptance criteria as indicated by compliance with various ISO standards and the 'reported device performance' based on the comparison table and the general statements about meeting requirements.

Here's the closest representation of the requested information based on the provided document:


1. Table of Acceptance Criteria and Reported Device Performance

Feature/TestAcceptance Criteria (Standard/Requirement)Reported Device Performance
Material Safety (Biocompatibility)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 irritationAll user directly contacting materials are compliant with these ISO requirements, and tested to be safe.
Safety - Electromagnetic Compatibility (EMC)IEC 60601-1-2: Medical Electrical Equipment - Part 1-2: General requirements for basic safety and essential performance – Collateral Standard: Electromagnetic disturbances – Requirements and tests
ISO7176-21: Wheelchairs - Part 21: Requirements and test methods for electromagnetic compatibility of electrically powered wheelchairs and scootersMeets IEC 60601-1-2 and ISO7176-21 requirements.
Performance (General)ISO 7176 series (including specific parts for stability, brakes, energy consumption, dimensions, speed, strength, climatic tests, obstacle climbing, power/control systems, batteries/chargers, etc.)
ISO 16840-10: Wheelchair seating - Part 10: Resistance to ignition of postural support devices - Requirements and test method
FDA Guidance: Submission for Power Wheelchair
Risk Analysis developed in accordance with ISO 14971: 2019
Software validationThe device complies with all referenced ISO standards and FDA guidance. All tests indicate a positive conclusion and meet requirements.
Braking Distance≤1.5 m (as per predicate)≤1.5 m
Maximum Safe Operational Incline Degree6° (as per predicate)
Max Loading Weight120kg (predicate), validated with maximum rated weight dummy.136kg (similar performance to predicate, validated with maximum rated weight dummy)
Max Speed ForwardUp to 6 km/h (1.6 m/s) adjustable (predicate)Up to 5.4km/h (1.5m/s) (similar)
Max Speed BackwardLess than 3 km/h (0.8 m/s) (predicate)Less than 2.5km/h (0.7m/s) (similar)
Maximum Distance of Travel on Fully Charged Battery16km (predicate)12km (similar, not causing new safety/effectiveness concerns)
Electronic Controller PerformanceMeets the requirements of ISO 7176-14Meets the requirements of ISO 7176-14
Brake System EffectivenessMeets the requirements of ISO 7176-3Meets the requirements of ISO 7176-3
Stability (Static, Dynamic)Meets the requirements of ISO 7176-1 and ISO 7176-2Meets the requirements of ISO 7176-1 and ISO 7176-2
Strength (Static, Impact, Fatigue)Meets the requirements of ISO 7176-8Meets the requirements of ISO 7176-8
Obstacle Climbing AbilityMeets the requirements of ISO 7176-10Meets the requirements of ISO 7176-10 (e.g., 25mm climbing vs predicate's 40mm, deemed not to cause new concerns)
Batteries and ChargersMeets the requirements of ISO 7176-25Meets the requirements of ISO 7176-25
Information Disclosure, Documentation, LabelingMeets the requirements of ISO 7176-15 and FDA RegulatoryConforms to ISO 7176-15 and FDA Regulatory

2. Sample size used for the test set and the data provenance:

  • Sample Size: The document does not specify a distinct "test set" in terms of patient data or case numbers. Instead, it refers to performance and safety testing of the physical device according to various international standards (ISO). For tests involving a dummy, it mentions validation "with the maximum rated weight dummy." The number of devices tested is not explicitly stated.
  • Data Provenance: The testing appears to have been conducted as part of the device development and verification process by the manufacturer in China. The specific location or date of individual tests are not detailed beyond the document preparation date (2025/2/26). The studies are inherently "prospective" in the sense that they are conducted to verify the new device's compliance.

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

  • This section is not applicable. The device is an electrically powered wheelchair, not an AI diagnostic algorithm or system requiring expert-established ground truth from medical images or patient data. The "ground truth" for the device's performance is established by its compliance with engineering and safety standards, which are defined by standard bodies (like ISO) and regulatory bodies (like FDA), and verified through physical testing.

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

  • This section is not applicable. Adjudication methods like 2+1 or 3+1 are typically used in clinical studies to resolve discrepancies among multiple expert readers for diagnostic tasks. For a physical device like a wheelchair, performance is measured against objective engineering and safety standards, not subjective expert assessment of a diagnostic outcome.

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:

  • This section is not applicable. An MRMC study is relevant for evaluating the impact of AI on human reader performance in diagnostic tasks. This document is for a physical medical device (a wheelchair) and does not involve AI for diagnostic purposes or human readers.

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

  • This section is not applicable. There is no AI algorithm being evaluated for standalone performance in this document. The device is a physical wheelchair.

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

  • The "ground truth" in this context is defined by the technical specifications, requirements, and acceptable tolerances outlined in the referenced international standards (e.g., ISO 7176 series, ISO 10993 series, IEC 60601-1-2) which are based on engineering principles, safety considerations, and recognized testing methodologies. It's essentially engineering and safety standard compliance verified through objective physical testing.

8. The sample size for the training set:

  • This information is not applicable as this document does not describe the development or testing of an AI model with a training set.

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

  • This information is not applicable as this document does not describe the development or testing of an AI model with a training set.

§ 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).