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The FR-W04 (Luggie Chair) provides transportation for an elderly or disabled person. It can be used in a variety of indoor and outdoor settings.

The FR-W04 (Luggie Chair) is a battery-powered, four-wheeled electric wheelchair intended to provide mobility for elderly or disabled individuals in a variety of indoor and outdoor settings. The FR-W04 (Luggie Chair) is meant to be used by a single rider weighing up to 360 pounds. The wheelchair is rear-wheel drive and has electric, regenerative electromechanical brakes. The steering and user controls are provided on the armrest for ease of use by the rider. Steering is controlled simply by turning the top controller in the desired direction. There is one lever, and speed knobs on the top controller to control movement speed of the wheel chair. The specification of control method is the same as the predicate device, Freerider FR168-W Power Chair (K033370). The FR-W04 (Luggie Chair) has a controller and one lithium battery. There is also an off-board battery charger, which has also been previously cleared. It has an adjustable seat that has several height adjustments. The specification of battery charger and adjustable seat is the same as the predicate device, Freerider Luggie Super FR-L05 (K151944).

This document is a 510(k) premarket notification for a powered wheelchair, the Luggie Chair (model FR-W04). It primarily focuses on demonstrating substantial equivalence to previously cleared devices rather than presenting a study proving performance against acceptance criteria for a novel AI or diagnostic device.

Therefore, much of the requested information regarding acceptance criteria, specific study design (MRMC, standalone), expert involvement, and ground truth establishment is not applicable or cannot be extracted from this document, as it pertains to a different type of medical device submission.

However, I can extract the information related to non-clinical testing which serves a similar purpose of demonstrating safety and performance against established standards.

Here's a breakdown based on the available information:

1. Table of Acceptance Criteria and Reported Device Performance:

The document doesn't provide a table of acceptance criteria in the sense of specific performance metrics (e.g., sensitivity, specificity for a diagnostic device). Instead, it lists various national and international standards against which the device was tested and found to comply. Compliance with these standards is the acceptance criterion for this type of device submission.

2. Sample Size Used for the Test Set and Data Provenance:

• Sample Size: Not explicitly stated as a number of "samples" in the way a diagnostic device would have patient cases. The testing was performed on the FR-W04 (Luggie Chair) device itself. It's implied that one or a few units were tested to demonstrate compliance.
• Data Provenance: The testing was "non-clinical testing" conducted for regulatory submission. The document doesn't specify the country of origin of the testing data beyond the manufacturer being in Taiwan. It's retrospective in the sense that the testing was completed prior to submission.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of Those Experts:

• Not Applicable: For this type of device (a powered wheelchair), "ground truth" is not established by human experts in the way it is for diagnostic imaging or AI devices. Compliance with engineering and safety standards is determined through objective measurement and testing by qualified test laboratories/personnel.

4. Adjudication Method for the Test Set:

• Not Applicable: As "ground truth" is not established by expert review, there is no adjudication method involved.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, and the effect size of how much human readers improve with AI vs. without AI assistance:

• Not Applicable: This is a physical medical device (powered wheelchair), not an AI or diagnostic application that would involve human readers.

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

• Not Applicable: This is a physical medical device and does not involve an algorithm working in a standalone capacity without a human user.

7. The Type of Ground Truth Used:

• Technical Specifications and Compliance with Standards: The "ground truth" for this device is its adherence to established engineering, safety, and performance standards (e.g., ISO, IEC, EN standards for powered wheelchairs and electrical safety). Performance metrics like maximum speed, braking distance, weight capacity, and incline ability are objectively measured during testing.

8. The Sample Size for the Training Set:

• Not Applicable: This device does not use an AI algorithm that requires a "training set" of data.

9. How the Ground Truth for the Training Set Was Established:

• Not Applicable: As there is no AI algorithm or training set, this information is not relevant.

In summary: The provided document is a 510(k) for a physical medical device (a powered wheelchair). Its acceptance criteria are defined by compliance with a comprehensive set of national and international engineering and safety standards, as demonstrated through non-clinical bench testing. The concepts of "AI models," "human readers," "ground truth experts," and "training/test sets" as outlined in your prompt are not applicable to this type of device submission.

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The FR-L05 (Luggie Super) provides transportation for an elderly or disabled person. It can be used in a variety of indoor and outdoor settings.

The FR-L05 (Luggie Super) is a battery-powered, three-wheeled scooter intended to provide mobility for elderly or disabled individuals in a variety of indoor and outdoor settings. The FR-L05 (Luggie Super) is meant to be used by a single rider weighing up to 360 pounds. The scooter is rear-wheel drive and has electric, regenerative electromechanical brakes. It has an adjustable seat that has several height adjustments. The steering and user controls are provided on the steering tiller/handlebars for ease of use by the rider. Steering is controlled simply by turning the handlebars in the desired direction. There are two thumb levers, and speed knobs on the tiller console to control movement speed of the scooter. The FR-L05 (Luggie Super) has a controller and 1 lithium battery. There is also an off-board battery charger.

This document is a 510(k) summary for the Freerider Corporation's Luggie Super, a motorized three-wheeled vehicle. It describes the device, its intended use, and its substantial equivalence to a predicate device.

Based on the provided text, there is no information about acceptance criteria or a study proving the device meets those criteria in the context of device performance related to a diagnostic or therapeutic function. This document is for a mobility device (electric scooter). The "testing" mentioned refers to non-clinical bench testing to ensure the device meets safety standards for motorized vehicles and electrical components, not performance criteria for a medical diagnostic or therapeutic function.

Therefore, I cannot provide the requested information in the format of the table and study details, as they are not applicable to the content of this document.

Here's why the requested information cannot be found:

• Type of Device: The Luggie Super is a motorized three-wheeled vehicle (electric scooter) for transportation. It is not a diagnostic device (e.g., AI for image analysis) or a therapeutic device with specific performance metrics like sensitivity, specificity, accuracy, etc.
• "Acceptance Criteria" in this context: For a device like an electric scooter, "acceptance criteria" primarily relate to safety standards (e.g., electromagnetic compatibility, stability, braking performance) and operational specifications (e.g., weight capacity, speed). These are typically met through engineering design and bench testing against established industry standards.
• "Study that proves the device meets the acceptance criteria": The document states "Non-clinical Testing" was conducted, referencing various ISO and IEC standards (e.g., ISO 7176, IEC 60601-1, electromagnetic interference testing). This testing is the "study" that proves it meets the relevant safety and performance standards for a motorized mobility device. The conclusion states: "The safety and effectiveness of the FR-L05 (Luggie Super) was demonstrated by the testing in compliance with national and international standards."
• Lack of Clinical Testing: The document explicitly states, "No clinical testing is included in this submission." This further confirms that its "performance" is not measured in a clinical context that would require ground truth, experts, and statistical metrics like those used for diagnostic AI.
• Lack of AI/Algorithm: This document does not pertain to an AI-powered device or algorithm. Therefore, questions regarding standalone performance, human-in-the-loop, training sets, adjudication, or ground truth for diagnostic purposes are irrelevant.

In summary, the provided text describes a regulatory submission for a simple mobility device. The "acceptance criteria" are compliance with safety and engineering standards, and the "study" consists of non-clinical bench testing against those standards.

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