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510(k) Data Aggregation

    K Number
    K190737
    Date Cleared
    2021-05-10

    (780 days)

    Product Code
    Regulation Number
    890.3800
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Dongguan Prestige Sporting Goods Co., Ltd.

    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 Solax Electric Scooter (Models: S204311M, S204161, S204143) is an indoor/outdoor electric scooter that is intended to be used by individuals that are able to walk, but suffer from mobility limitations. It has the following main components: two 6 inch solid front tires, two 7 inch solid rear tires, two anti-tip tires, control panel, steering handles, seat folding lever, backrest, arm rest, seat, steering column, seat frame, front/ rear covers, folding release lever, angle adjustment lever, height adjustment lock, carry handle, an off-board charger and aluminum alloy made frame, It is powered by two Li-ion DC rechargeable batteries with 18 km (on level surface) which maximum speed up to 6 km/hr. The movement of the scooter is controlled by the steering handles and control panel. The device is installed with an electromagnetic brake that will engage automatically when the scooter is not in use and the brake cannot be used manually.

    AI/ML Overview

    This FDA 510(k) summary (K190737) describes the substantial equivalence of the Solax Electric Scooter to a previously cleared predicate device, rather than providing details of a study akin to those conducted for AI/ML-based medical devices. Therefore, much of the requested information regarding acceptance criteria, human reader studies, and ground truth establishment for AI systems is not applicable or present in this document.

    However, I can extract information related to the performance testing and comparison to the predicate device, framing it as acceptance criteria and proof of meeting them within the context of a non-AI medical device.

    Device Name: Solax Electric Scooter (Models: S204311M, S204161, S204143)
    Intended Use: 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.


    1. A table of acceptance criteria and the reported device performance

    For a traditional medical device like this electric scooter, "acceptance criteria" are typically defined by performance standards (e.g., ISO standards) and by demonstrating equivalence to a predicate device. The "reported device performance" is the successful compliance with these standards and the demonstration that any differences from the predicate do not raise new safety or effectiveness concerns.

    Acceptance Criteria Category (Derived from Standards & Predicate Comparison)Specific Criterion (Standard / Predicate Characteristic)Reported Device Performance (Subject Device Characteristic)Meets Criteria?
    General Characteristics (Equivalence to Predicate)Same Intended Use as Predicate (K172440)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.Yes
    Same Indications for Use as PredicateIt 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.Yes
    OTC Use as PredicateOTCYes
    Similar Tires (6 inches front, 7 inches rear, solid)6 inches for front wheel (solid wheel), 7 inches for rear wheel (solid wheel)Yes
    Same Speed (6 km/h / 3.7 mph)6 km/h (3.7mph)Yes
    Same Range (15 km / 9.32 mile)15 km (9.32mile)Yes
    Same Battery Weight (1.84 kg)1.84 kgYes
    Same Brake Type (Electromagnetic)ElectromagneticYes
    Same Drive System (PG 45A / Rear wheel drive)PG 45A / Rear wheel driveYes
    Same Battery (Lithium battery 24V/10AH)Lithium battery 24V/10AHYes
    Same Motor (24V 120W)24V 120WYes
    Same Battery Charger (DC24V/2A)DC24V/2AYes
    Same Frame Design/Construction (X type, aluminum alloy)X type, aluminum alloy frameYes
    Specific Performance Parameters (Compared to Predicate)Overall Dimensions: S302121: 930450865mmS204311M: 980450940mm, S204161: 930450860mm, S204143: 980450880mm (Note 1: Minor differences, no deleterious effect on safety/effectiveness)Yes (with justification)
    Safe Gradient / Max Gradient: 0-12°S204311M: 0-13°, S204161, S204143: 0-15° (Note 1: Minor differences, no deleterious effect on safety/effectiveness)Yes (with justification)
    Turning Circle: 1.55 mS204311M: 1.55m, S204161, S204143: 1.35 m (Note 1: Minor differences, no deleterious effect on safety/effectiveness)Yes (with justification)
    Base Weight: 24 kgS204311M: 24kg, S204161, S204143: 24.7 kg (Note 1: Minor differences, no deleterious effect on safety/effectiveness)Yes (with justification)
    Maximum Capacity: 125 kg Approx.125 kg Approx. (Note 1: Minor differences, no deleterious effect on safety/effectiveness)Yes
    Ground Clearance: 36 mmS204311M: 38mm, S204161, S204143: 58mm (Note 1: Minor differences, no deleterious effect on safety/effectiveness)Yes (with justification)
    Obstacle Climbing Ability: 38 mmS204311M: 40mm, S204161, S204143: 60mm (Note 1: Minor differences, no deleterious effect on safety/effectiveness)Yes (with justification)
    Folding Mechanism: Manual folding and remote folding (Predicate)Manual folding for S204311M, S204161, S204143 (Note 2: Difference will not affect basic safety/indications for use, not a necessary function)Yes (with justification)
    Remote Control: None (Predicate)Yes (New feature, Note 2: Difference will not affect basic safety/indications for use, not a necessary function)Yes (with justification)
    Safety and Performance Standards Compliance (Demonstrated through Testing)ISO 7176-1: 2014, Wheelchairs Part 1: Determination of static stabilityConductedYes
    ISO 7176-2:2017, Wheelchairs Part 2: Determination of dynamic stability of Powered WheelchairsConductedYes
    ISO 7176-3: 2012, Wheelchairs Part 3: Determination of effectiveness of brakesConductedYes
    ISO 7176-4, Third edition 2008-10-01, Wheelchairs Part 4: Energy consumption of electric wheelchairs and scooters for determination of theoretical distance rangeConductedYes
    ISO 7176-5, Second edition 2008-06-01, Wheelchairs Part 5: Determination of overall dimensions, mass and manoeuvring spaceConductedYes
    ISO 7176-6: 2018, Wheelchairs Part 6: Determination of maximum speed, acceleration and deceleration of Powered WheelchairsConductedYes
    ISO 7176-7, First Edition 1998-05-15, Wheelchairs Part 7: Measurement of seating and wheel dimensionsConductedYes
    ISO 7176-8:2014, Wheelchairs Part 8: Requirements and test methods for static, impact and fatigue strengthsConductedYes
    ISO 7176-9:2009, Wheelchairs Part 9: Climatic tests for Powered WheelchairsConductedYes
    ISO 7176-10:2008, Wheelchairs Part 10: Determination of obstacle-climbing ability of electrically powered wheelchairsConductedYes
    ISO 7176-11, Second edition 2012-12-01, Wheelchairs Part 11: Test dummiesConductedYes
    ISO 7176-13, First edition 1989-08-01, Wheelchairs Part 13: Determination of coefficient of friction of test surfacesConductedYes
    ISO 7176-14:2008, Wheelchairs Part 14: Power and control systems for electrically powered wheelchairs and scooters - Requirements and test methodsConductedYes
    ISO 7176-15:1996, Wheelchairs Part 15: Requirements for information disclosure, documentation and labelingConductedYes
    ISO 7176-16, Second edition 2012-12-01, Wheelchairs Part 16: Resistance to ignition of postural support devicesConductedYes
    ISO 7176-21 Second edition 2009-04-01 Wheelchairs - Part 21: Requirements and test methods for electromagnetic compatibility of electrically powered wheelchairs and scooters, and battery chargersConductedYes
    IEC 62304: 2006 (First Edition), Medical device software, Software life-cycle processes. (Applicable if there's software)ConductedYes
    IEC 60601-1-6 Medical electrical equipment- Part1-6: General requirements for safety-Collateral Standard: Usability Edition 3.1, 2013ConductedYes
    IEC 62366 Medical devices Application of usability engineering to medical devices Edition 1.0.2007ConductedYes
    BiocompatibilityAll user directly contacting materials compliant with ISO10993-5:2009 (Tests for In Vitro cytotoxicity) and ISO10993-10:2009 (Tests for irritation and delayed-type hypersensitivity)Materials and manufacturing used are identical to predicate device, which demonstrated conformity. Subject device materials confirmed compliant.Yes

    The remaining numbered points are primarily for AI/ML device studies and are not directly applicable to a traditional device 510(k) submission like this one, which relies on performance testing and substantial equivalence to a predicate.

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

    • Sample Size: Not applicable in the context of an AI/ML test set. The study involves testing physical units of the scooter according to various ISO standards. The specific number of units tested is not detailed in this summary but would be determined by the requirements of each standard.
    • Data Provenance: Not applicable. The "data" are results from physical performance and biocompatibility testing of the device itself, rather than a dataset of patient information. The testing would have been conducted by the manufacturer or a certified testing lab, likely in China, given the manufacturer's location. The testing is prospective in the sense that it's performed on the manufactured product to demonstrate compliance.

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

    • Not applicable. "Ground truth" in the AI/ML sense (e.g., expert annotation of medical images) is not relevant here. Compliance with ISO standards is determined by prescribed test methods and objective measurements.

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

    • Not applicable. This is not a human reader study requiring adjudication. Test results are objectively measured against standard specifications.

    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:

    • Not applicable. This is not an AI-assisted device or an imaging device requiring human reader studies.

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

    • Not applicable. This device does not use an algorithm in that capacity.

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

    • Not applicable in the AI/ML sense. The "ground truth" for this device's performance is defined by the objective pass/fail criteria of the various ISO performance and safety standards, and the direct comparison of its physical and functional characteristics to the predicate device.

    8. The sample size for the training set:

    • Not applicable. This is not an AI/ML device that requires a training set.

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

    • Not applicable.
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    K Number
    K192190
    Date Cleared
    2021-04-23

    (619 days)

    Product Code
    Regulation Number
    890.3800
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    Dongguan Prestige Sporting Goods Co., Ltd

    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

    Not Found

    AI/ML Overview

    I am sorry, but the provided text from the FDA letter does not contain information about an AI/ML medical device, its acceptance criteria, or any associated study details. The letter is a 510(k) premarket notification clearance for an electric scooter (Solax Electric Scooter Models S3121 and S312131), categorizing it as a Class II medical device.

    Therefore, I cannot fulfill your request to describe the acceptance criteria and the study proving the device meets those criteria based on the provided input. The document discusses regulatory aspects of device marketing, such as general controls, registration, listing, labeling, and good manufacturing practices, but it does not delve into performance metrics or study designs typically associated with AI/ML diagnostic or prognostic devices.

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    K Number
    K200978
    Date Cleared
    2021-04-16

    (368 days)

    Product Code
    Regulation Number
    890.3860
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    Dongguan Prestige Sporting Goods Co., Ltd.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Electric wheelchair (Model: S7110) is a motor driven, indoor transportation vehicle with the intended use to provide mobility to a disabled or elderly limited to a seated position.

    Device Description

    Not Found

    AI/ML Overview

    This document is a 510(k) clearance letter from the FDA for an "Electric Wheelchair (Model: S7110)". It confirms that the device is substantially equivalent to legally marketed predicate devices.

    The letter does not contain information about acceptance criteria, a specific study proving device performance against acceptance criteria, sample sizes, data provenance, expert qualifications, adjudication methods, multi-reader multi-case studies, standalone algorithm performance, or ground truth details.

    The document primarily addresses the regulatory approval process and includes the Indications for Use statement for the electric wheelchair.

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    K Number
    K202632
    Date Cleared
    2021-04-08

    (209 days)

    Product Code
    Regulation Number
    890.3860
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Dongguan Prestige Sporting Goods Co., Ltd.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The device is a power wheelchair intended to provide mobility to persons restricted to a sitting position.

    Device Description

    The Electric wheelchair (Model S7204, S7205) is a power wheelchair intended to provide mobility to persons restricted to a sitting position. The Electric wheelchair (Model S7204, S7205) is about 136 kg weight capacity. It is basic conventional rear wheels drive, rigid frame vehicle that are battery powered. It consists primarily of a welded-aluminum frames, sealed transaxle motors drive system, electromagnetic braking system, electric motor controller and Li-ion batteries with an off-board battery charger. It is powered by rechargeable batteries with 45 km which maximum speed up to 7 km/h. The controller with a joystick attaches to either armrest and allows the rider to control the movement and velocity of the powered wheelchair. When the joystick is released. the electromagnetic brake will be actuated and the power wheelchair is slow to stop. It consists of three parts which are chair part, control part and drive part. Overall it mainly has a basic aluminum alloy frame, two front wheels, two rear wheels, two anti-tip wheels, a seat, a footrest, an controller, an electric motor, an electromagnetic brake and a Lithium battery with an off-board charger. The result of "tiltover" tests performed laterally (12° ), posteriorly (16° ), and anteriorly (12° ) with a user of maximum allowable weight in the least stable configuration: No overturn performed laterally, posteriorly, and anteriorly with 136kg in the least stable configuration.

    AI/ML Overview

    The provided text is a 510(k) summary for an Electric Wheelchair, Models: S7204, S7205. It describes the device, its intended use, and comparative testing against predicate devices to establish substantial equivalence.

    However, the document does not describe an AI medical device or a study involving human readers or AI assistance. It focuses on the physical and functional characteristics of an electric wheelchair and its compliance with various ISO and IEC standards relevant to wheelchairs and medical electrical equipment.

    Therefore, many of the requested criteria cannot be extracted from this document, as they pertain to AI/ML device performance and clinical studies involving expert readers, which are not present here.

    Here's a breakdown based on the information available:

    Acceptance Criteria and Device Performance Study (Electric Wheelchair)

    1. Table of Acceptance Criteria and Reported Device Performance

    The document doesn't explicitly list "acceptance criteria" in a typical table format for an AI device. Instead, it refers to compliance with various international standards for wheelchairs and medical electrical equipment. The "reported device performance" is mainly a comparison of the subject device's specifications against those of two predicate devices, with notations on substantial equivalence.

    Key Performance & Safety Standards (implicit acceptance criteria by compliance):

    StandardPurpose/CriteriaDevice Performance / Compliance
    ISO 7176-1: 2014Static stabilityPerformed. No overturn performed laterally (12°), posteriorly (16°), and anteriorly (12°) with 136kg in the least stable configuration. (Also mentioned in Device Description)
    ISO 7176-2: 2017-10Dynamic stabilityCompliant (implied by inclusion in "Tests Summary" and overall SE conclusion)
    ISO 7176-3: 2012Effectiveness of brakesCompliant. Minimum Braking Time: 1.54s, Minimum Braking Distance: 1.5m, Brake distance-Normal operation (Horizontal-Forward-Max speed): 1.5-1.8m. These values, though different from predicate, still comply with ISO 7176-3.
    ISO 7176-4: 2008-10-01Energy consumption & theoretical distance rangeRange: 45km. Compliant with standard requirements (implied by inclusion in "Tests Summary" and Note 2 stating compliance with ISO 7176 series standards).
    ISO 7176-5: 2008-06-01Overall dimensions, mass & maneuvering spaceCompliant. Various dimensions and masses are provided for models S7204/S7205 (e.g., Size, Overall length, Overall width, Total mass, Mass of heaviest part, Minimum turning diameter). Differences from predicates are noted but deemed not to raise safety/effectiveness issues as they are "mechanical parameters" and "very similar."
    ISO 7176-6: 2018-06Maximum speed, acceleration & decelerationCompliant. Speed: 7km/h (4.3mph). Differences from predicates are noted but deemed not to raise safety/effectiveness issues as they comply with ISO 7176 series standards.
    ISO 7176-7: 1998-05-15Seating and wheel dimensionsCompliant. Effective seat depth: 480mm, Effective seat width: 520mm, Back support height: 810mm, Front of arm support to back support: 250mm, Tires: 6" front, 14" middle, 6" rear (solid wheels). Differences from predicates are noted but deemed not to raise safety/effectiveness issues as they are "mechanical parameters" and "very similar."
    ISO 7176-8: 2014Static, impact and fatigue strengthsCompliant (implied by inclusion in "Tests Summary")
    ISO 7176-9: 2009Climatic testsCompliant (implied by inclusion in "Tests Summary")
    ISO 7176-10: 2008Obstacle-climbing abilitySafe Gradient / Maximum Gradient: 10°. Compliant with standard requirements (implied by inclusion in "Tests Summary" and Note 2 stating compliance with ISO 7176 series standards).
    ISO 7176-11: 2012-12-01Test dummiesUsed in testing (implied by inclusion in "Tests Summary")
    ISO 7176-13: 1989-08-01Coefficient of friction of test surfacesUsed in testing (implied by inclusion in "Tests Summary")
    ISO 7176-14: 2008Power and control systemsCompliant (implied by inclusion in "Tests Summary")
    ISO 7176-15: 1996Information disclosure, documentation and labelingCompliant (implied by inclusion in "Tests Summary")
    ISO 7176-16: 2012-12-01Resistance to ignition of postural support devicesCompliant (implied by inclusion in "Tests Summary")
    ISO 7176-21: 2009-04-01Electromagnetic compatibility (EMC)Compliant ("EMC" row in comparison table explicitly states "ISO 7176 - 21")
    ISO 10993-5:2009 & ISO 10993-10: 2009Biocompatibility (In Vitro cytotoxicity, Irritation & delayed-type hypersensitivity)All user directly contacting materials are compliant with ISO10993-5 and ISO10993-10 requirements.
    IEC 62304: 2006Medical device software life-cycle processesNot applicable for a non-software/AI medical device submission where software is not the primary mechanism of action or being evaluated as an AI. It's likely general software development for embedded control.
    IEC 60601-1-6: 2010 & IEC 62366: 2007Usability engineeringCompliant (implied by inclusion in "Tests Summary"). These apply to the device's operational interface and safety for the user.
    Maximum capacityWeight capacity136 kg. Substantially Equivalent to predicate devices (one had 150 kg, the other 136 kg).

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

    Not applicable. The "test set" here refers to the device itself and components undergoing engineering and safety tests, not a dataset for an AI model. Testing was performed on the electric wheelchair models S7204 and S7205. The provenance of the data is from specific tests conducted by the manufacturer/laboratories against established international standards.

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

    Not applicable. This is not an AI/ML device requiring expert ground truth for a diagnostic or prognostic task. The "ground truth" is established by the specifications defined in the international standards (e.g., how to measure static stability, speed, brake performance).

    4. Adjudication method for the test set

    Not applicable. This concept typically applies to expert review of data for AI model training or evaluation, which is not relevant here. The evaluation is based on compliance of physical and functional tests with established standards.

    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

    Not applicable. This is an electric wheelchair, not an AI-assisted diagnostic or prognostic device. No MRMC study or evaluation of human readers with/without AI assistance was performed.

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

    Not applicable. This is an electric wheelchair. There is no standalone algorithm being evaluated.

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

    For this device, the "ground truth" is defined by the objective performance criteria and methodologies outlined in the referenced ISO and IEC standards. For example, static stability is measured according to ISO 7176-1, brake performance according to ISO 7176-3, and biocompatibility according to ISO 10993. These are engineering and safety standards, not clinical ground truth of a diagnostic nature.

    8. The sample size for the training set

    Not applicable. This is not an AI/ML device relying on a training set.

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

    Not applicable. This is not an AI/ML device.

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    K Number
    K201508
    Date Cleared
    2021-03-09

    (277 days)

    Product Code
    Regulation Number
    880.2910
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Dongguan Prestige Sporting Goods Co., Ltd

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Infrared Thermometer (model: STM-20) is a non-sterile, reusable, handheld device. It can be used by consumers in homecare environment and doctors in clinic as reference. It is intended for measuring human body temperature of people over one month old by detecting infrared heat from the forehead.

    Device Description

    Infrared Thermometer (model: STM-20) is a hand-held, battery powered, non-contact infrared thermometer that coverts a user's forehead temperature, using the infrared energy emitted in the area around the user's forehead, to an oral equivalent temperature when placed within 1-3 cm from the subject's forehead with no contact. The Infrared Thermometer referenced body site is oral temperature. The laboratory accuracy of rated output temperature range 34°C-42°C (93.2°F to 107.6°F) is ±0.2°C (0.4°F). The rated extended output range is 32°C33.9°C (89.6°F to 93.0°F), 42.1°C43°C (107.8°F to 109.4°F) and the laboratory accuracy is ±0.2°C (0.4°F) as well. The device can be used in the hospital or at home.

    It uses a thermopile sensor with integrated thermistor for the target reading and a thermistor mounted in the head of the thermometer for ambient temperature readings.

    It composed by a measuring sensor, PCB, 3 buttons, a LCD and an enclosure. Press the measurement key to turn on the device. The screen of the device lights up. The LCD screen has the power symbol, measurement mode, temperature unit and measurement temperature. When measuring body temperature, users need to keep the measurement distance 1-3 cm from the subject's center of forehead with no contact. Press the measuring key, after 1 second with the sound of "beep", the measurement is completed and the temperature is displayed on the LCD screen. Without any operation, it will close automatically in 30±5 seconds.

    User contacts components are the enclosure and keys. The materials of the components are ABS plastic and it no any color additives.

    AI/ML Overview

    The provided document describes the 510(k) summary for the Infrared Thermometer (Model: STM-20). This type of document is a premarket notification to the FDA to demonstrate that the device is at least as safe and effective as a legally marketed predicate device.

    The acceptance criteria for this device are primarily related to its accuracy in measuring body temperature and its compliance with relevant safety and performance standards. The study proving the device meets these criteria is a clinical performance test.

    Here's a breakdown of the requested information based on the document:

    1. A table of acceptance criteria and the reported device performance

    Acceptance Criteria (Standard / Parameter)Reported Device Performance (Reference)
    Accuracy (Laboratory)
    Temperature Range: 34°C-42°C (93.2°F to 107.6°F)±0.2°C (0.4°F) (Section 4)
    Extended Range: 32°C~33.9°C (89.6°F to 93.0°F)±0.2°C (0.4°F) (Section 4)
    Extended Range: 42.1°C~43°C (107.8°F to 109.4°F)±0.2°C (0.4°F) (Section 4)
    Display Resolution0.1°C/0.1°F (Section 6)
    Clinical Performance
    Compliance with ASTM E1965-98 (2016)Complied (Section 7.2)
    Safety and Essential Performance
    Electrical Safety (ANSI AAMI ES60601-1, IEC 60601-1-11)Evaluated (Section 7.1)
    Electromagnetic Compatibility (IEC 60601-1-2)Evaluated (Section 7.1)
    Software Verification and Validation (FDA Guidance)Evaluated (Section 7.1)
    General Requirements for Clinical Thermometers (ISO 80601-2-56)Evaluated (Section 7.1)

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

    • Sample Size for Test Set: 240 subjects were evaluated in the clinical performance test (Section 7.2).
    • Data Provenance: Not explicitly stated regarding country of origin. The document is submitted by a company in China (Dongguan Prestige Sporting Goods Co., Ltd) with an application correspondent in China (Guangzhou GLOMED Biological Technology Co., Ltd.). The test standards (ASTM E1965-98) are international. The study is a prospective clinical performance test.

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

    The document does not specify the number of experts or their qualifications used to establish ground truth. For clinical thermometers, ground truth for temperature measurement is typically established using a highly accurate reference thermometer (e.g., a rectal or oral thermometer depending on the standard's requirements for a "core" temperature measurement) or a blackbody calibrator for laboratory accuracy. The document mentions the clinical performance test protocol and data analysis were conducted in accordance with ASTM E1965-98 (2016), which outlines how temperature measurements should be taken and compared.

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

    The document does not describe any adjudication method as it pertains to expert reviews of results. For clinical thermometer studies, the "ground truth" is typically a direct measurement from a highly accurate reference device, not a subjective interpretation requiring adjudication.

    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

    No. This device is a simple temperature measurement device, not an AI-assisted diagnostic imaging tool. Therefore, an MRMC study or evaluation of human reader improvement with AI assistance is not applicable.

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

    The device is an infrared thermometer, which is inherently a standalone device in its core function of measuring temperature. Its performance is evaluated based on its accuracy against known standards and other temperature measurement methods, which effectively means its "algorithm" (i.e., its internal electronics and thermopile sensor) performance is tested directly. There isn't a separate "human-in-the-loop" aspect to its primary function of temperature reading.

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

    The ground truth for the clinical performance test was established based on the requirements of ASTM E1965-98 (2016). For these types of devices, ground truth is typically a direct measurement from a highly accurate reference thermometer. While not explicitly stated to be "rectal" or "oral" temperatures, ASTM E1965-98 typically mandates such comparisons for clinical accuracy.

    8. The sample size for the training set

    The document does not mention a "training set" because this is not a machine learning/AI device that requires a training phase. The device is a hardware product that directly measures infrared heat.

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

    Not applicable, as there is no training set for this device.

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    K Number
    K202549
    Date Cleared
    2021-02-26

    (176 days)

    Product Code
    Regulation Number
    890.3800
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    Dongguan Prestige Sporting Goods Co., Ltd

    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

    Solax Electric Scooter (Model: S202261B)

    AI/ML Overview

    This document is a 510(k) clearance letter from the FDA for a medical device called the "Solax Electric Scooter." It does not contain any information about acceptance criteria or a study proving the device meets acceptance criteria.

    The letter is a notification that the FDA has determined the device is substantially equivalent to legally marketed predicate devices, allowing it to be marketed. It outlines regulatory requirements that the manufacturer must comply with, such as registration, labeling, and good manufacturing practices.

    Therefore, I cannot extract the requested information (table of acceptance criteria, sample sizes, expert qualifications, adjudication methods, MRMC studies, standalone performance, ground truth details, or training set information) from this document. This letter pertains to a regulatory clearance, not a technical performance study report.

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    K Number
    K191897
    Date Cleared
    2021-02-10

    (575 days)

    Product Code
    Regulation Number
    890.3800
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    Dongguan Prestige Sporting Goods Co., Ltd.

    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

    Not Found

    AI/ML Overview

    This document is a 510(k) clearance letter from the FDA for a Solax Electric Scooter, a motorized three-wheeled vehicle. It does not contain any information about an AI/ML-based medical device, its acceptance criteria, or performance study details.

    Therefore, I cannot provide the requested information regarding acceptance criteria and performance study for an AI/ML device based on the provided text. The document is strictly about a physical mobility device.

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    K Number
    K200857
    Date Cleared
    2020-12-17

    (260 days)

    Product Code
    Regulation Number
    890.3860
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Dongguan Prestige Sporting Goods Co., Ltd.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Electric wheelchair is a motor driven transportation vehicle with the intended use to provide mobility to a disabled or elderly limited to a seated position.

    Device Description

    The Electric wheelchair (Model S7012) is to provide mobility to adults, limited to a seated position that have capability to operate a few simple controls and the ability to control a powered wheelchair. The device and accessories (remote controller, AC power wire, charger, and battery) are reusable. The Electric wheelchair (Model S7012) is about 125 kg weight capacity and size is about 840mm x 640mm x 930mm if unfold and about 700mm x 640mm x 370mm if fold. It is basic conventional rear wheels drive, rigid frame vehicle that are battery powered. It consists primarily of a foldable welded-aluminum frames, sealed transaxle motors drive system, electromagnetic braking system, electric motor controller and Li-ion batteries with an off-board battery charger. It has some components as two front wheels, two rear wheels, two anti-tip wheels, a seat, a footrest, and has a remote for folding/unfolding the device. Its basic function is powered by rechargeable batteries with 15 km which has a maximum speed up to 6 km/h. The controller with a joystick attaches to either armrest and velocity of the powered wheelchair. When the joystick is released, the electromagnetic brake will be actuated and the power wheelchair is slow to stop. The joystick can move up and down, left and right. There is a speed button to adjust the speed, and the speed indicator can display the speed. In addition, there is a remote control to control the folding and unfolding of the device. And no any new features of the device.

    AI/ML Overview

    The provided text is a 510(k) Summary for an Electric Wheelchair (Model: S7012). It focuses on demonstrating substantial equivalence to a predicate device rather than detailing specific clinical studies against acceptance criteria in the manner one might expect for a novel AI/software as a medical device.

    Therefore, the requested information regarding detailed acceptance criteria, study design for proving those criteria, sample size for test sets, expert involvement, adjudication methods, MRMC studies, standalone performance, training set details, and ground truth establishment does not apply in the context of this traditional medical device submission. The submission relies on adherence to established international standards for wheelchairs and a comparison of technical specifications to a predicate device.

    However, I can extract the closest analogous information from the document:

    1. A table of acceptance criteria and the reported device performance:

    The acceptance criteria are generally implied by conformity to the listed ISO and IEC standards and demonstrating substantial equivalence to the predicate device in terms of specifications. The "reported device performance" is given by the subject device's specifications.

    Element of ComparisonAcceptance Criteria (Implied by Predicate & Standards)Reported Device Performance (Subject Device)Notes for Equivalence
    GeneralConformity to ISO 7176 series, IEC 62304, IEC 60601-1-6, IEC 62366, ISO 10993 seriesComplies with all listed standardsExplicitly stated that the device complies with these standards.
    Intended UseProvide mobility to a disabled or elderly person limited to a seated position.Provide mobility to a disabled or elderly limited to a seated position.Substantially Equivalent (SE). The intent is the same.
    Dimensions (e.g., Unfold Size)Similar to predicate (e.g., 890 mm *603 mm *670 mm approx)840mm x 640mm x 930mmSE: "subtle changes of the physical characteristics will not affect the critical functions or the normal use." (Note 1)
    Total MassSimilar to predicate (e.g., 28 kg)25.84 kgSE: "subtle changes of the physical characteristics will not affect the critical functions or the normal use." (Note 1)
    SpeedSimilar to predicate (e.g., 7 km/h)6 km/hSE: "very similar and all also comply with ISO 7176 series standards requirements, it will not affect the main function and the intended use." (Note 2)
    Safe GradientSimilar to predicate (e.g., 0-12°)0-8°SE: "very similar and all also comply with ISO 7176 series standards requirements, it will not affect the main function and the intended use." (Note 2)
    RangeSimilar to predicate (e.g., 20 km)16 kmSE: "very similar and all also comply with ISO 7176 series standards requirements, it will not affect the main function and the intended use." (Note 2)
    Maximum CapacitySimilar to predicate (e.g., 100 kg)125 kgSE: "very similar and all also comply with ISO 7176 series standards requirements, it will not affect the main function and the intended use." (Note 2)
    Obstacle Climbing AbilitySimilar to predicate (e.g., 25 mm)40 mmSE: "very similar and all also comply with ISO 7176 series standards requirements, it will not affect the main function and the intended use." (Note 2)
    BatterySimilar to predicate (e.g., Lithium 24V/20AH)Lithium battery 24V/10AhSE: "both of them are comply with the standards IEC 62133 and ISO 7176, it will not raise any safety or effectiveness issue." (Note 3)
    MotorSimilar to predicate (e.g., 24V 250W)24V 137WSE: "both of them are comply with the standards IEC 62133 and ISO 7176, it will not raise any safety or effectiveness issue." (Note 3)
    BrakeElectromagneticElectromagneticSE
    BiocompatibilityCompliance with ISO10993-5 and ISO10993-10Compliance with ISO10993-5 and ISO10993-10SE.
    Electrical Safety / EMCCompliance with ISO 7176 series / ISO 7176-21Compliance with ISO 7176 series / ISO 7176-21SE.

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

    • Sample Size: Not applicable. The "tests" mentioned are conformity to international standards (e.g., ISO 7176 series, IEC 62304) for a physical device, not statistical performance evaluations against a test set of data. These standards typically involve testing a single or a small number of physical units to verify specifications and safety features.
    • Data Provenance: Not applicable in the context of data used for statistical evaluation of a test set. The provenance of the tested device itself is Dongguan Prestige Sporting Goods Co., Ltd., China.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience):

    Not applicable. This device is an electric wheelchair, not an AI/diagnostic device that generates an output needing expert "ground truth." The "truth" is established by direct physical measurement, engineering tests, and adherence to performance specifications outlined in the international standards cited (e.g., measuring speed, stability, brake effectiveness).

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

    Not applicable for this type of device submission. Adjudication methods are typically used in clinical studies where expert consensus is needed to define a ground truth for 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:

    Not applicable. MRMC studies are specific to evaluating the effectiveness of AI-assisted diagnostic tools on human reader performance. This device is a physical mobility aid.

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

    Not applicable. This device is a physical product (electric wheelchair), not an algorithm or AI system.

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

    The "ground truth" for this device's performance relies on:

    • Direct Physical Measurements: E.g., dimensions, weight, speed, range, turning radius.
    • Engineered Safety Standards: Compliance with ISO 7176 series (static stability, dynamic stability, brakes, strength, climatic tests, EMC, etc.), IEC 62304 (software life-cycle), IEC 60601-1-6 (usability), IEC 62366 (usability engineering), and ISO 10993 series (biocompatibility).
    • Comparison to a Predicate Device: Demonstrating that any differences in specifications do not raise new questions of safety or effectiveness.

    8. The sample size for the training set:

    Not applicable. This is not an AI/machine learning device.

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

    Not applicable. This is not an AI/machine learning device.

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    K Number
    K182400
    Date Cleared
    2020-04-14

    (588 days)

    Product Code
    Regulation Number
    890.3860
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    Dongguan Prestige Sporting Goods Co., Ltd

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Solax Powered Wheelchair 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.

    Device Description

    Not Found

    AI/ML Overview

    This document is a 510(k) clearance letter from the FDA for a powered wheelchair, specifically the Solax Powered Wheelchair (Models: S7101, S7103). It confirms that the device is substantially equivalent to legally marketed predicate devices.

    However, the provided text does not contain any information regarding acceptance criteria, device performance studies, sample sizes, ground truth establishment, expert qualifications, or comparative effectiveness studies (MRMC or standalone) for an AI/CAD product.

    This document is purely an administrative FDA clearance for a physical medical device (a powered wheelchair), and therefore none of the requested information about AI/CAD validation studies is present.

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    K Number
    K182576
    Date Cleared
    2019-05-21

    (244 days)

    Product Code
    Regulation Number
    890.3860
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Dongguan Prestige Sporting Goods Co., Ltd

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The intended use of the Solax Powered Wheelchair is to provide mobility to adults, limited to a seated position that have capability to operate a few simple controls and the ability to control a powered wheelchair.

    Device Description

    The Solax Powered Wheelchair (Model S7102) is to provide mobility to adults, limited to a seated position that have capability to operate a few simple controls and the ability to control a powered wheelchair. The Solax Powered Wheelchair (Model S7102) is with 100 kg (220 lbs) weight capacity. It is basic conventional rear wheels drive, rigid frame vehicle that are battery powered. It consists primarily of a foldable welded-aluminum frames, two sealed transaxle motors drive system, electromagnetic braking system, electric motor controller and two Li-ion batteries with an off-board battery charger. It is powered by rechargable batteries with 27.65 km which maximum speed upto 6.2 km/hr. The controller with a joystick attaches to either armrest and allows the rider to control the movement and velocity of the powered wheelchair. When the joystick is released, the electromagnetic brake will be actuated and the power wheelchair is slow to stop.

    lt consists of four parts which are chair part, control part, folding part and drive part. Overall it mainly has a basic aluminum alloy frame, two front wheels, two anti-tip wheels, a seat, a footrest, an controller, an electric motor, an electromagnetic brake, a remote for folding the device and a Lithium battery with an off-board charger.

    AI/ML Overview

    The provided document is a 510(k) summary for the Solax Powered Wheelchair. It focuses on demonstrating substantial equivalence to a predicate device based on performance standards, rather than presenting a study of diagnostic or clinical effectiveness with specific acceptance criteria in the way a medical AI/ML device would.

    Therefore, many of the requested categories for AI/ML device studies are not applicable to this document. The document describes engineering and manufacturing specifications and adherence to international standards for wheelchairs.

    However, I can extract the relevant information from the document regarding its "performance summary" which serves as the fulfillment of its acceptance criteria in the context of a powered wheelchair.

    Here's the closest interpretation of your request based on the provided document:

    Acceptance Criteria and Device Performance for Solax Powered Wheelchair (K182576)

    The "acceptance criteria" for the Solax Powered Wheelchair are considered met by demonstrating compliance with various parts of the ISO 7176 standard series (Wheelchairs) and IEC standards for medical devices and software. The "study" proving this is the successful completion of these tests as reported by the manufacturer.

    1. Table of Acceptance Criteria (Standard Compliance) and Reported Device Performance

    Acceptance Criteria (ISO/IEC Standard)Reported Device Performance (Compliance Statement)
    ISO 7176-1: 2014 (Static stability)Conducted with Solax Powered Wheelchair
    ISO 7176-2:2001 (Dynamic stability)Conducted with Solax Powered Wheelchair
    ISO 7176-3: 2012 (Effectiveness of brakes)Conducted with Solax Powered Wheelchair
    ISO 7176-4: 2008 (Energy consumption/theoretical distance range)27.65 km range (complies with ISO 7176-4 Requirement as per Note 2)
    ISO 7176-5: 2008 (Overall dimensions, mass and manoeuvring space)Conducted with Solax Powered Wheelchair (Size and Base Weight comply with ISO 7176-5 Requirement as per Note 1)
    ISO 7176-6: 2001 (Maximum speed, acceleration and deceleration)Max speed: 6.2 km/h (complies with ISO 7176-6 Requirement as per Note 2)
    ISO 7176-7: 1998 (Measurement of seating and wheel dimensions)Conducted with Solax Powered Wheelchair (Tires comply with ISO 7176-7 Requirement as per Note 1)
    ISO 7176-8:2014 (Static, impact and fatigue strengths)Conducted with Solax Powered Wheelchair
    ISO 7176-9:2009 (Climatic tests)Conducted with Solax Powered Wheelchair
    ISO 7176-10:2008 (Obstacle-climbing ability)50mm obstacle climbing ability (conducted with Solax Powered Wheelchair)
    ISO 7176-11: 2012 (Test dummies)Conducted with Solax Powered Wheelchair
    ISO 7176-13: 1989 (Coefficient of friction of test surfaces)Conducted with Solax Powered Wheelchair
    ISO 7176-14:2008 (Power and control systems)Conducted with Solax Powered Wheelchair (Drive System complies with ISO 7176-14 Requirement as per Note 2)
    ISO 7176-15:1996 (Information disclosure, documentation and labeling)Conducted with Solax Powered Wheelchair
    ISO 7176-16: 2012 (Resistance to ignition of postural support devices)Conducted with Solax Powered Wheelchair
    ISO 7176-21: 2009 (Electromagnetic compatibility)Conducted with Solax Powered Wheelchair
    ISO 7176-22: 2014 (Set-Up Procedures)Conducted with Solax Powered Wheelchair
    IEC 62304: 2006 (Medical device software, Software life-cycle processes)Conducted with Solax Powered Wheelchair
    IEC 60601-1-6: 2010 (Usability)Conducted with Solax Powered Wheelchair
    IEC 62366: 2007 (Application of usability engineering)Conducted with Solax Powered Wheelchair

    Note: For specific parameters like "Maximum speed forward," "Energy consumption," "Minimum braking distance," "Base weight," "Maximum capacity," and "Obstacle Climbing Ability," the document provides specific values for the subject device and states that these comply with the relevant ISO 7176 requirements, even if different from the predicate device. For "Battery" and "Battery Charger," it states they comply with "ISO 7176 Requirement" (general reference).

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Sample Size for Test Set: Not explicitly stated as a number of devices. "Solax Powered Wheelchair" (singular) is referred to, implying at least one physical device was tested against these standards.
    • Data Provenance: The tests were "conducted with Solax Powered Wheelchair," implying these are prospective tests performed on the manufactured device. The manufacturer is "Dongguan Prestige Sporting Goods Co., Ltd." in Guangdong province, China, suggesting the testing was likely conducted in China or by a certified body on behalf of the manufacturer.

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

    • Not applicable. This isn't an AI/ML clinical study that requires expert adjudication for ground truth. Compliance with engineering standards is typically verified through standardized testing protocols executed by engineers or technicians in certified labs.

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

    • Not applicable. See point 3.

    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

    • Not applicable. This document pertains to a powered wheelchair, not an AI/ML diagnostic or assistive device.

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

    • Not applicable. See point 5.

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

    • Not applicable. The "ground truth" equivalent here is the set of established performance criteria defined by the ISO 7176 and IEC standards for powered wheelchairs. The device performance is measured against these objective engineering and safety standards.

    8. The sample size for the training set

    • Not applicable. There is no "training set" as this is a physical medical device, not an AI/ML algorithm.

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

    • Not applicable. See point 8.
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