K Number
K974820
Device Name
BREEZY SERIES
Date Cleared
1998-01-27

(35 days)

Product Code
Regulation Number
890.3850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Quickie manual wheelchairs empower physically challenged persons by providing a means of mobility. This includes temporary and permanent conditions in all ages such as: Arthritis, Amputee, Paraplegia, Cerebral Palsy, Hemiplegia, Tetraplegia, Quadriplegia, Spina Bifida, Head Injury or Trauma, Muscular Dystrophy, Multiple Sclerosis, Polio, Geriatric conditions And other immobilizing or debilitating condition. A wheelchair with Bus Transport Option may be used for motor vehicle transportation, with the use of wheelchair tie down and occupant restraint system (WTORS) that meet the requirements of SAE J2249
Device Description
The Breezy series wheelchairs are light weight manual chairs. These chairs are intended to provide mobility based on an individual users' needs and capabilities. They are available in a range of sizes (dimensions) to allow fit to a particular user, and is adjustable in various ways, including: The key change covered by this submission is the addition of a reclining back model to the Breezy product line. Chairs are configured to customer orders when sold. Configuration to order allows flexibility. Features such as width, depth, and back height are specified. Specific configuration includes chair accessories and desired safety features. Any combination of features from the approved matrix may be configured to create the chair features needed by a given rider It is the rider and the health care professional that determine the appropriate configuration for the users needs. As the individuals condition or size change, other components or accessories may be ordered and the chair reconfigured to meet the evolving needs of its user. Breezy wheelchairs with or without the reclining back option, consists of typical components found on most wheelchairs, such as backrest, seat frame, cushion, footrest and casters. Accessories include items such as armrests, positioning belts, backpacks, seat pouches, oxygen tank holders, IV poles, etc. Many of these components may become available in a range of sizes, shapes, angles, forms, materials or coverings. These variations allow the chairs to be configured to meet the specific desires and needs of the user.
More Information

Not Found

Not Found

No
The description details a manual wheelchair with various configurable options and accessories. There is no mention of any computational or data-driven features that would indicate the presence of AI or ML.

No
The device is a manual wheelchair, which provides mobility for individuals with physical limitations. While it assists with conditions like Arthritis or Paralysis, it does not directly treat or cure them, but rather enables daily living activities.

No

Explanation: The device is a manual wheelchair, which provides mobility, not diagnosis. The "Intended Use" section clearly states its purpose is "providing a means of mobility" for physically challenged persons, and it lists various conditions that impair mobility, not conditions it can diagnose.

No

The device description clearly describes a physical manual wheelchair with various hardware components and configurations. There is no mention of software as the primary or sole component of the device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health.
  • Device Description: The provided text describes a manual wheelchair. Its purpose is to provide mobility for individuals with physical challenges. It is a mechanical device used externally on the body.
  • Intended Use: The intended use is to empower physically challenged persons by providing a means of mobility. This is a functional aid, not a diagnostic test.

The description clearly indicates a device for physical support and mobility, not for analyzing biological samples for diagnostic purposes.

N/A

Intended Use / Indications for Use

Quickie manual wheelchairs empower physically challenged persons by providing a means of mobility. This includes temporary and permanent conditions in all ages such as: Arthritis, Amputee, Paraplegic, Cerebral Palsy, Hemiplegic, Tetraplegic Quadriplegic Spina Bifida Head Injury or Trauma Muscular Dystrophy, Multiple Sclerosis Polio Geriatric conditions And other immobilizeing or debilitating condition. A wheelchair with Bus Transport Option may be used for motor vehicle transportation, with the use of wheelchair tie down and occupant restraint system (WTORS) that meet the requirements of SAE J2249.

Product codes

IOR

Device Description

The Breezy series wheelchairs are light weight manual chairs. These chairs are intended to provide mobility based on an individual users' needs and capabilities. They are available in a range of sizes (dimensions) to allow fit to a particular user, and is adjustable in various ways, including: The key change covered by this submission is the addition of a reclining back model to the Breezy product line. Chairs are configured to customer orders when sold. Configuration to order allows flexibility. Features such as width, depth, and back height are specified. Specific configuration includes chair accessories and desired safety features. Any combination of features from the approved matrix may be configured to create the chair features needed by a given rider It is the rider and the health care professional that determine the appropriate configuration for the users needs. As the individuals condition or size change, other components or accessories may be ordered and the chair reconfigured to meet the evolving needs of its user. Breezy wheelchairs with or without the reclining back option, consists of typical components found on most wheelchairs, such as backrest, seat frame, cushion, footrest and casters. Accessories include items such as armrests, positioning belts, backpacks, seat pouches, oxygen tank holders, IV poles, etc. Many of these components may become available in a range of sizes, shapes, angles, forms, materials or coverings. These variations allow the chairs to be configured to meet the specific desires and needs of the user. The chairs have excellent performance indoors and are very good outdoors over surfaces that are firm ad free of large obstacles and long steep inclines. That makes them an ideal maneuverable, light weight "Get out there chair".

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

all ages

Intended User / Care Setting

Not Found

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

Not Found

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

510k Notification - Breezy 510 Recliner and Model Number Updates

13.0 510(k) SUMMARY OF SAFETY AND EFFICACY

Rebecca Andersen Submitter: Date: December 18, 1997

R974820

JAN 27 1998

Name(s) of the device(s):

Breezy Series

Identification of predicate device(s):

Sunrise Invacare's Everest & Jennings' Everest and Jennings

Breezy Family 9000 Universal EZ LITE

Description of the device:

The Breezy series wheelchairs are light weight manual chairs. These chairs are intended to provide mobility based on an individual users' needs and capabilities. They are available in a range of sizes (dimensions) to allow fit to a particular user, and is adjustable in various ways, including: The key change covered by this submission is the addition of a reclining back model to the Breezy product line.

Chairs are configured to customer orders when sold. Configuration to order allows flexibility. Features such as width, depth, and back height are specified. Specific configuration includes chair accessories and desired safety features. Any combination of features from the approved matrix may be configured to create the chair features needed by a given rider It is the rider and the health care professional that determine the appropriate configuration for the users needs. As the individuals condition or size change, other components or accessories may be ordered and the chair reconfigured to meet the evolving needs of its user.

Breezy wheelchairs with or without the reclining back option, consists of typical components found on most wheelchairs, such as backrest, seat frame, cushion, footrest and casters. Accessories include items such as armrests, positioning belts, backpacks, seat pouches, oxygen tank holders, IV poles, etc.

Many of these components may become available in a range of sizes, shapes, angles, forms, materials or coverings. These variations allow the chairs to be configured to meet the specific desires and needs of the user.

The chairs have excellent performance indoors and are very good outdoors over surfaces that are firm ad free of large obstacles and long steep inclines. That makes them an ideal maneuverable, light weight "Get out there chair".

Warnings, cautions and contraindications are detailed in the users manual.

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features the department's name in a circular arrangement around a stylized image of an eagle. The eagle is depicted with three curved lines representing its body and wings. The text is in all capital letters.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 27 1998

Ms. Rebecca Andersen · Vice President, Quality and Requlatory Affairs Sunrise Medical 7477 East Dry Creek Parkway Longmont, Colorado 80503

Re: K974820 Breezy Series Regulatory Class: I Product Code: IOR Dated: December 16, 1997 Received: December 23, 1997

Dear Ms. Andersen:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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 (Act). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

2

Page 2 - Ms. Rebecca Andersen

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to Other general premarket notification" (21 CFR 807.97). information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Acotello

CelNa M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

12.2 Indications for Use

Intended use:

Quickie manual wheelchairs empower physically challenged persons by providing a means of mobility. This includes temporary and permanent conditions in all ages such as:

Arthritis
Amputee
Paraplegic
Cerebral Palsy
Hemiplegic

Tetraplegic Quadriplegic Spina Bifida Head Injury or Trauma Muscular Dystrophy

Multiple Sclerosis Polio Geriatric conditions And other immobilizeing or debilitating condition

A wheelchair with Bus Transport Option may be used for motor vehicle transportation, with the use of wheelchair tie down and occupant restraint system (WTORS) that meet the requirements of SAE J2249

510(k) number: Not assigned as of this time

Device name: Breezy Series

Which today consist of : Breezy 500 Breezy 510 Breezy 510 Recliner Breezy 600

Concurrence of CDRH, Office of Device Evaluation (ODE)

[ Prescription use (per 21 CFR801.109)

Over-the-counter use

coop
(D

· Restorative Devic 5 Tulk) Number

4

Image /page/4/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features a stylized eagle with three waves emanating from its body, symbolizing health, services, and people. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 2 7 1998

Mr. Zhou Shun Kao Wenzhou Hindar Optical Co., Ltd. No. 46-5 Liming Mid Road Wenzhou City, China

Re: K974861 Trade Name: Non-prescription Sunglasses Regulatory Class: I Product Code: 86 HQY Dated: December 17, 1997 Received: December 29, 1997

Dear Mr. Kao:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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 (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21-CFR-Part 820) and that, through ' periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

5

Page 2 - Mr. Zhou Shun Kao

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4613. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

A Ralph Rosenthal

A. Ralph Rosenthal, M.D. Director Division of Ophthalmic Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Page 1 of

510(k) Number (if known): K974861

Device Name: Sunglasses

Indications For Use:

Sunglasses (nonprescription) are devices that consist of spectacle frames or clips with absorbing, reflective, tinted, polarizing, or photosensitized lenses intended to be worn by a person to protect the eyes from bright sunlight but not to provide refractive corrections. This device is usually available over-the-counter.

PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Am Williams
(Division Sign-Off)
Division of Ophthalmic Devices
510(k) Number K974861

Prescription Use (Per 21 CFR 801.109) OR

Over-The-Counter Use XXX

(Optional Format 1-2-96)