K Number
K251606
Device Name
Power Wheelchair (D26)
Date Cleared
2025-06-25

(29 days)

Product Code
Regulation Number
890.3860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
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:D26, 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-Ion 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: D26, 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 power wheelchair can be folded/ expanded manually. The Left and right handrails (joystick) can be interchange.
More Information

Not Found

No.

The device description does not mention any AI, DNN, or ML models. The control system is based on a joystick and remote control via Bluetooth, with electromagnetic brakes actuated when the joystick is released. There are no indications of autonomous decision-making or learning functionalities.

No
A power wheelchair is for mobility assistance, not for treating or diagnosing a medical condition or disease.

No

The device is a power wheelchair, described as a transportation vehicle to provide mobility. There is no indication that it is used to diagnose any medical conditions.

No

The device is a physical power wheelchair with numerous hardware components (motors, batteries, frame, wheels, etc.) and a control system that includes both hardware (joystick, control pad) and software elements. It is not limited to software functionality.

No
The device is a power wheelchair, a mobility aid that does not perform diagnostic tests on in vitro biological samples.

N/A

Intended Use / Indications 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.

Product codes

ITI

Device Description

The power wheelchair, model name:D26, 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-Ion 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: D26, 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 power wheelchair can be folded/ expanded manually. The Left and right handrails (joystick) can be interchange.

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

disabled or elderly person limited to a seated position / indoor and outdoor use

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

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.

Key Metrics

Not Found

Predicate Device(s)

K242448

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

FDA 510(k) Clearance Letter - Power Wheelchair (D26)

Page 1

U.S. Food & Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993
www.fda.gov

Doc ID # 04017.07.05

June 25, 2025

Anhui JBH Medical Apparatus Co., Ltd.
℅ Kiwi Xu
Consultant
Shanghai SUNGO Management Consulting Co., Ltd.
14th Floor, Dongfang Building, 1500# Century Ave.
Shanghai,
China

Re: K251606
Trade/Device Name: Power Wheelchair (D26)
Regulation Number: 21 CFR 890.3860
Regulation Name: Powered wheelchair
Regulatory Class: Class II
Product Code: ITI
Dated: May 27, 2025
Received: May 27, 2025

Dear Kiwi Xu:

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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K251606 - Kiwi Xu
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 (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-reporting-combination-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-devices/device-advice-comprehensive-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-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medical-devices/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-devices/device-advice-comprehensive-regulatory-

Page 3

K251606 - Kiwi Xu
Page 3

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

Page 4

Indications for Use

Please type in the marketing application/submission number, if it is known. This textbox will be left blank for original applications/submissions. K251606

Please provide the device trade name(s). Power Wheelchair (D26)

Please provide your Indications for Use below.

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.

Please select the types of uses (select one or both, as applicable).

  • ☐ Prescription Use (Part 21 CFR 801 Subpart D)
  • ☒ Over-The-Counter Use (21 CFR 801 Subpart C)

Power Wheelchair
Page 11 of 28

Page 5

510k summary

1 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: outreach@jbhmedical.com
Date prepared: 2025.5.23

2 Device

K251606
Device trade name: Power wheelchair
Model: D26
Classification name: Powered wheelchair
Regulation class: 2
Regulation number: 21CFR 890.3860
Panel: Physical Medicine
Product code: ITI

3 Predicate device

K242448
Power Wheelchair, D26
Anhui JBH Medical Apparatus Co., Ltd

4 Device description

The power wheelchair, model name:D26, 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-Ion

Page 6

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: D26, 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 power wheelchair can be folded/ expanded manually. The Left and right handrails (joystick) can be interchange.

5 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.

6 Comparison of technological characteristics with the predicate device

Table 1 General Comparison

AttributeSubject devicePredicate deviceDiscussion/Conclusion
ManufacturerAnhui JBH Medical Apparatus Co., Ltd.Anhui JBH Medical Apparatus Co., Ltd./
Proprietary name, modelPower Wheelchair, D26power wheelchair, D26/
510(k) number-K242448/
Device classification nameClass IIClass IISame
Classification regulations21 CFR 890.386021 CFR 890.3860Same
Product codeITIITISame

Page 7

Indication for useThe 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.The wheelchair (Model: DC01) 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.Same
Intended userdisabled or elderly person limited to a seated positiondisabled or elderly person limited to a seated positionSame
Use conditionindoor and outdoor useindoor and outdoor useSame
Type of useOTCOTCSame

Table 2 Basic Parameters Comparison

AttributeSubject devicePredicate deviceDiscussion/Conclusion
Device length1150 mm1150 mmSame
Device Width600 mm600 mmSame
Stowage Length600 mm600 mmSame
Stowage width340 mm340 mmSame
Stowage height810 mm810 mmSame
Ground clearance110 mm110 mmSame
Number of wheels44Same
Front wheel size/type7" /PU Solid tire7" /PU Solid tireSame
Rear wheel size/type12" /PU Solid tire12" /PU Solid tireSame
Function of wheelsFront wheels: driven wheels suitable for rotation, acceleration, retrograde
Rear wheels: driving wheels to control the speed and directionFront wheels: driven wheels suitable for rotation, acceleration, retrograde
Rear wheels: driving wheels to control the speed and directionSame
Frame designThe frame of the wheelchair is type capable of front and rear close. The main part of the frame can be folded for saving space and convenient storage and transportation.The frame of the wheelchair is type capable of front and rear close. The main part of the frame can be folded for saving space and convenient storage and transportation.Same
Folding mechanismManually fold/ expandManually fold/ expandSame

Page 8

Movement control methodBy Joystick control and Bluetooth remote controllerBy Joystick control and Bluetooth remote controllerSame
Driving systemDirect drive on the rear wheelsDirect drive on the rear wheelsSame
Brake systemIntelligent electromagnetic brake systemIntelligent regenerative Electromagnetic brakeSame
Max speed forwardUp to 6 km/h (3.75 mph), continuously adjustableUp to 6 km/h (3.75 mph), variableSame
Main frame materialAluminum alloyAluminum alloySame
Armrest cushionPolyurethane (PU)Polyurethane (PU)Same
Speed settings55Same
Batteryli-ion battery; rechargeable, 24 VDC 10Ah/ 6Ah*2li-ion battery; rechargeable, 24 VDC 10Ah/ 6Ah*2Same
Maximum distance of travel on the fully charged battery12.8 km20 kmMinor difference on travel distance will not cause different performance. This difference will not raise any new safety and effectiveness concerns.
Battery chargerOff-board charger
Input: 100-240Vac, 50/60Hz, 1.5A
Output: 24 Vdc, 2AOff-board charger
Input: 100-240Vac, 50/60Hz, 1.5A
Output: 24 Vdc, 2ASame
Minimum braking distance from maximum speedForward: <1mForward: <1mSame
Max loading weight180kg120kgMinor difference on loading weight will not cause different performance. more loading weight provide more convenient and stable performance for the transportation.
Maximum safe operational incline degree8 °8 °Same

Page 9

MotorBrushless motor; 24VDC; 250W; 2pcsBrushless motor; 24VDC; 250W; 2pcsSame
Electronic controllerDual Drive Controller for Brushless MotorDual Drive Controller for Brushless MotorSame
Remote controllerVia BluetoothVia BluetoothSame
Wireless RF frequency range2.402 GHz to 2.480 GHz2.402 GHz to 2.480 GHzSame
Wireless operation range10m10mSame
Turning Radius750mm750mmSame
Maximum obstacle climbing25 mm25 mmSame
seat cushion/ back cushionmesh fabric + spongemesh fabric + spongeSame

Table 3 Safety comparison

AttributeSubject devicePredicate deviceDiscussion/Conclusion
BiocompatibilityAll user directly contacting materials are compliance with ISO 10993-1All user directly contacting materials are compliance with ISO 10993-1Same
EMCISO 7176-21 & IEC60601-1-2ISO 7176-21 & IEC60601-1-2Same
PerformanceISO 7176 seriesISO 7176 seriesSame
LabelingConforms to FDA RegulatoryConforms to FDA RegulatorySame

7 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.

Page 10

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.

8 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.

9 Substantially Equivalence Conclusion

Based on the comparison and analysis above, the subject device is determined to be substantially equivalent to the predicate device, K242448.