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510(k) Data Aggregation

    K Number
    K220213
    Device Name
    Empulse R90
    Date Cleared
    2022-03-30

    (63 days)

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

    Sunrise Medical (US) LLC

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

    The Empulse R90 is intended to be used to provide power assistance to manual wheelchair users. It is designed to augment the manual propulsion provided by the user, reducing the effort required by the user to propel the wheelchair.

    Device Description

    The Empulse R90 is an auxiliary power module to provide augmented power to manual wheelchair users. The device utilizes a single electric drive wheel to provide the augmented power. The device mounts to a camber tube (rigid wheelchair) or a compressible axle (folding wheelchair) to provide the assisted power. On-board sensors, including an inclinometer, accelerometer and motor current sensing to determine when the user wishes to move forward and if the system is on an incline or decline. The removable Lithium lon battery pack is easily switched out to an alternate battery pack if additional range is required. The battery can also be removed if the user wishes to reduce the overall weight. The actuator is used to automatically engage and disengage the locking latch as well as compress the pre-load traction spring when the user wishes to disconnect the EMPULSE R90 from the wheelchair. In the extended position, the actuator allows the pre-load spring to provide sufficient pre-load to the drive wheel to ensure sufficient traction.

    AI/ML Overview

    The provided text is a 510(k) Premarket Notification for a medical device called "Empulse R90", a power assist device for manual wheelchairs. It focuses on demonstrating substantial equivalence to predicate devices through technical comparisons and non-clinical testing.

    The document does not contain any information about acceptance criteria or a study proving the device meets acceptance criteria related to an AI/ML-driven medical device, ground truth establishment, sample sizes for training/test sets, expert adjudication methods, or MRMC studies.

    Therefore, I cannot fulfill your request for the specific information regarding AI/ML device acceptance criteria and study details. The document pertains to a physical medical device and its equivalent performance to existing physical predicate devices through non-clinical mechanical, electrical, and performance testing, rather than an AI/ML diagnostic or predictive tool.

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    K Number
    K172384
    Date Cleared
    2018-01-16

    (161 days)

    Product Code
    Regulation Number
    890.3900
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Sunrise Medical (US) LLC

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

    The Sunrise Medical Quickie® Q700-UP M power wheelchairs are battery operated devices, that are indicated for medical purposes to provide mobility and repositioning of the user, including a stand-up feature.

    Device Description

    This submission covers the Q700-UP M which includes the following new components to the Sunrise Medical Quickie® Pulse 6SC:

      1. Requires a knee block that was a previous option
      1. Adds a stand-up actuator (PG Drives Technology) to power the stand-up feature
      1. Requires a different version of the power center leg-rest to support the patient's weight when standing.
      1. Adds a CSXM power seating control module (PG Drives Technology) to control the seating during standing
      1. A caster / suspension lock-out system to stabilize the base when stand-up is actuated.

    The Sunrise Medical Quickie® Q700-UP M power wheelchairs are battery operated devices, that are indicated for medical purposes to provide mobility and repositioning of the user, including a stand-up feature.

    The Sunrise Medical Quickie® Q700-UP M power wheelchairs provide seating and standing function for patients who cannot stand on their own.

    AI/ML Overview

    The document does not describe a study involving a medical device with "acceptance criteria" and "reported device performance" in the typical sense of diagnostic test performance (e.g., sensitivity, specificity, accuracy).

    Instead, the document is a 510(k) summary for a medical device called the Quickie® Q700-UP M (a stand-up wheelchair). The "acceptance criteria" and "reported device performance" are presented as compliance with various recognized industry standards and a comparison of technical features to predicate devices to demonstrate substantial equivalence.

    Here's the information extracted and formatted according to your request, with clarifications where the terms need to be adapted to the context of a wheelchair 510(k) submission:


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

    In the context of this 510(k) submission for a stand-up wheelchair, "acceptance criteria" refers to compliance with recognized consensus standards (primarily ISO 7176 series and RESNA WC-1) and demonstrating substantial equivalence to predicate devices based on technical features. The "reported device performance" is the outcome of testing against these standards and the listed technical specifications.

    Acceptance Criteria (Standard / Feature)Reported Device Performance (Outcome / Specification)
    ISO 7176-1 [ANSI/RESNA WC-1/1]: Determination of Static StabilityPass
    ISO 7176-2 [ANSI/RESNA WC-2/2]: Determination of Dynamic Stability of Electrically Powered WheelchairsPass
    ISO 7176-3 [ANSI/RESNA WC-2/3]: Determination of effectiveness of brakesPass
    ISO 7176-4 [ANSI/RESNA WC-2/4]: Energy consumption for determination of theoretical distancePass
    ISO 7176-5 [ANSI/RESNA WC-1/5]: Determination of dimensions, mass and maneuvering spacePass
    ISO 7176-6 [ANSI/RESNA WC-2/6]: Determination of maximum speed, acceleration and decelerationPass
    ISO 7176-7 [ANSI/RESNA WC-1/7]: Method of measurement of seating and wheel dimensionsPass
    ISO 7176-8 [ANSI/RESNA WC-1/8]: Requirements and test methods for static, impact and fatigue strengthsPass
    ISO 7176-9 [ANSI/RESNA WC-2/9]: Climatic tests for electrically powered wheelchairsPass
    ISO 7176-10 [ANSI/RESNA WC-2/10]: Determination of obstacle-climbing abilityPass
    ISO 7176-14 [ANSI/RESNA WC-2/14]: Power and control systems - Requirements and test methodsPass
    ISO 7176-15 [ANSI/RESNA WC-1/15]: Requirements for information disclosure, documentation and labelingPass
    ISO 7176-16 [ANSI/RESNA WC-1/16]: Resistance to ignition of upholstered partsPass
    ISO 7176-19 [ANSI/RESNA WC-4/19]: Wheeled mobility devices for use as seats in motor vehiclesPass
    ISO 7176-21 [ANSI/RESNA WC-2/21]: Electromagnetic compatibilityPass
    ISO 10993-5: Biological evaluation of medical devicesPass (for materials common to many wheelchairs)
    ISO 7176-25: Batteries and chargers for powered wheelchairsPass
    RESNA WC-1:2009 Section 20: Determination of the Performance of Stand-up Type WheelchairsPass
    Technical Feature Comparison to Predicate Devices:
    Product Code (LeVo C3)IPL 890.3900 (Identical)
    Device Description (LeVo C3)Center-wheel-drive, battery-powered, motor-driven, controlled by PG Drives Technology; functions indoors/outdoors (Equivalent)
    Picture (in standing mode, LeVo C3)Wheelchair in standing mode (Equivalent)
    Seat width (LeVo C3)16-22" (Equivalent to predicate's 12.6-20.5 inches)
    Total width (LeVo C3)25" (Equivalent to predicate's 24.8 inches)
    Total length (LeVo C3)36" (Functionally Equivalent to predicate's 41.3 inches)
    Seat plate depth (LeVo C3)16-22" (Functionally Equivalent to predicate's 13.8–24.8 inches)
    Armrest height (LeVo C3)6.3"-12" (Functionally Equivalent to predicate's 5.9-14.1 inches)
    Turning circle (LeVo C3)43 inches (Identical)
    Speed (LeVo C3)6 or 8 mph options (Functionally Equivalent to predicate's 3.7/5/6.2 mph options)
    Range (LeVo C3)21 miles (Functionally Equivalent to predicate's 15.5 miles)
    Manageable gradient (LeVo C3)10° (18%) (Functionally Equivalent to predicate's 15° (33%) actually 28%)
    Max. curb height (LeVo C3)4 inches (Identical)
    Max. chair weight (LeVo C3)375 lbs. (Equivalent to predicate's 407 lbs.)
    Max. user weight (LeVo C3)265 lbs. (Reduced weight capacity compared to predicate's 310 lbs.)
    Transport volume max. (LeVo C3)41"x 25"x 29" (Functionally Equivalent to predicate's 37.8 x 24.8 x 27.1 inches)
    Controller(s) (Reference device: Quickie Pulse 6SC)PGDT R-Net Controller Std. (Equivalent)
    Joystick Mounting (Reference device: Quickie Pulse 6SC)Standard, Swing-away, Retractable (Equivalent)
    Attendant Controls (Reference device: Quickie Pulse 6SC)Optional, for R-Net (Equivalent)
    Batteries (Reference device: Quickie Pulse 6SC)Group 24 – 73Ahr; Group 34 -50 Ahr (Equivalent)
    Power stand-up feature (Reference device: Quickie Pulse 6SC)Chest support and knee support standard (Identical)
    Light kit option (Reference device: Quickie Pulse 6SC)Front & Rear with Turn Signal (Identical)
    User Weight (Max) (Reference device: Quickie Pulse 6SC)265 lb. (Equivalent, limited by standup feature)
    Structural Materials (Reference device: Quickie Pulse 6SC)Steel and aluminum frame structure, welded and powder coated, standard foams/covers (Identical)
    Biocompatibility (Reference device: Quickie Pulse 6SC)Uses materials common to many Wheelchairs (Identical)
    Maximum speed (Reference device: Quickie Pulse 6SC)6.0 mph, with 8.0 mph option (Equivalent)
    Overall dimensions (Reference device: Quickie Pulse 6SC)25" x 36" (Equivalent)
    Maximum total weight of base (Reference device: Quickie Pulse 6SC)152 lbs. (Equivalent)
    Batteries (Reference device: Quickie Pulse 6SC)24V (2x12V) / 73 Ah/20h; 24V (2x12V) / 60 Ah/20h, Maintenance free (Equivalent)
    Drive wheels (Reference device: Quickie Pulse 6SC)14" diameter (Equivalent)
    Caster wheels (Reference device: Quickie Pulse 6SC)6" Front & Rear (Equivalent)
    Motors/gearbox (Reference device: Quickie Pulse 6SC)6.0 Motor Package (1026W @120A), 8.0 mph Motor Package (1293W @120A) (Equivalent)
    Anti-pitch mechanism for climbing (Reference device: Quickie Pulse 6SC)Additional anti-pitch lock-out (Identical)
    Cosmetic (Reference device: Quickie Pulse 6SC)Steel tubular box frame, cast aluminum front and rear caster arms, shrouded with ABS plastic covers (Equivalent)
    Seat options (Reference device: Quickie Pulse 6SC)SEDEO UP Recline (required by stand-up feature) (Equivalent)
    Minimum seat height (Reference device: Quickie Pulse 6SC)16.2" (Identical)
    Lift, tilt, recline range (Reference device: Quickie Pulse 6SC)Lift 0-12", Tilt 0-50°, Recline 0-172° (Identical)
    Lift, tilt, recline capacity (Reference device: Quickie Pulse 6SC)Lift 265 lbs., Tilt 265 lbs., Recline 265 lbs. (Equivalent, limited by stand-up feature)
    Seat dimensions (Reference device: Quickie Pulse 6SC)Width 16-22", Depth 16-22" (Equivalent)
    Controller type (Reference device: Quickie Pulse 6SC)R-Net from PGDT (Equivalent, limited by stand-up feature)
    Supply voltage (Reference device: Quickie Pulse 6SC)24 V dc (Identical)
    Operating voltage (Reference device: Quickie Pulse 6SC)35 V dc (Identical)
    Reverse battery voltage (Reference device: Quickie Pulse 6SC)-40 V dc (Identical)
    PWM frequency (Reference device: Quickie Pulse 6SC)19.5 kHz ± 1% (Identical)
    Brake voltage / current (Reference device: Quickie Pulse 6SC)Harness with in-line connector; Min 100 mA, Max 1 A (Identical)
    Charging current (Reference device: Quickie Pulse 6SC)12 A rms max (Identical)
    Charger connection (Reference device: Quickie Pulse 6SC)Only Neutrik NC3MX (Identical)
    Actuator current (Reference device: Quickie Pulse 6SC)Maximum 10 A (Identical)
    Maximum drive current (Reference device: Quickie Pulse 6SC)RNet 120A Controller (Equivalent with additional max current output)
    Moisture resistance (Reference device: Quickie Pulse 6SC)Compliant with ANSI RESNA WC-9 (Identical)
    Operating temperature (Reference device: Quickie Pulse 6SC)-25°C to 50°C (Identical)
    Storage temperature (Reference device: Quickie Pulse 6SC)-40°C to 70°C (Identical)
    Joystick Mount (Reference device: Quickie Pulse 6SC)Fixed mount, Height adjustable, Swing-away (Identical)
    Controller Connector (Reference device: Quickie Pulse 6SC)Harness with in-line connector (Identical)
    Number of drive profiles (Reference device: Quickie Pulse 6SC)5 (Identical)
    User input (Reference device: Quickie Pulse 6SC)Joystick and hand control buttons (Identical)
    On/off button, Speed up/down, Horn button (Reference device: Quickie Pulse 6SC)Yes (Identical)
    Actuator control (Reference device: Quickie Pulse 6SC)Versions available with and without actuator control buttons (Identical)
    Number of actuators for lift, tilt, recline (Reference device: Quickie Pulse 6SC)6 (tilt, stand-up, recline (2), power legrests (2), lift) (Equivalent)
    Battery state indicator (Reference device: Quickie Pulse 6SC)LEDs (Identical)
    Electronics package (Reference device: Quickie Pulse 6SC)Electronics in both hand control module and motor control module (Identical)
    Programming tool (Reference device: Quickie Pulse 6SC)Hand held programmer (Identical)
    External drive inhibit input (Reference device: Quickie Pulse 6SC)Yes (Identical)
    Attendant control (Reference device: Quickie Pulse 6SC)Option with R-Net system (Identical)
    Bluetooth PC mouse replacement (Reference device: Quickie Pulse 6SC)Option with R-Net system (Identical)

    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: The document does not specify a "sample size" in terms of many individual devices tested for each standard. Instead, it states that "All verification and validation testing conducted demonstrate that the Quickie® Q700-UP M is substantially equivalent..." This implies that at least one device (or a representative number of units) was tested to each listed standard. Standard compliance testing typically involves a small number of units (e.g., 1-3 units) unless otherwise specified by the standard or regulatory body.
    • Data Provenance: The document does not explicitly state the country of origin of the test data or whether it was retrospective or prospective. However, given that Sunrise Medical (US) LLC is listed with a Fresno, California address, and the submission is to the U.S. FDA, it is implied that the testing was conducted to meet U.S. regulatory requirements. It is a premarket notification (510(k)), so the testing would have been conducted as part of the development and validation process before market entry, making it prospective testing in anticipation of regulatory submission.

    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)

    This section is Not Applicable to this submission. The "ground truth" for a medical device like a wheelchair is not established by expert consensus in the same way as an AI diagnostic tool. Instead, the "ground truth" or acceptable performance is defined by adherence to internationally recognized performance standards for wheelchairs (ISO, RESNA). The experts involved would be engineers and technical specialists performing the tests and verifying compliance with these standards, not clinicians establishing a "diagnosis."

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

    This section is Not Applicable. Adjudication methods like 2+1 or 3+1 are used for resolving discrepancies in expert interpretations (e.g., in reading medical images for AI ground truth). For physical device testing against standards, the results are typically objectively measured and either pass or fail the specified criteria.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    This section is Not Applicable. This is a physical medical device (wheelchair), not an AI diagnostic tool involving human "readers" or AI assistance. No MRMC study would be relevant here.

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

    This section is Not Applicable. This is a physical medical device, not an algorithm.

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

    The "ground truth" for this device's performance is established by compliance with recognized international and national consensus standards (listed in Table 4) for wheelchair safety, performance, and functionality. These standards define the acceptable range of physical, mechanical, and electrical performance characteristics. The comparison to predicate devices also serves as a benchmark for demonstrating substantial equivalence based on established features of legally marketed devices.

    8. The sample size for the training set

    This section is Not Applicable. This is a physical medical device, not an AI model requiring a training set.

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

    This section is Not Applicable. As it's not an AI model, there is no "training set" or corresponding ground truth to establish.

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    K Number
    K160031
    Date Cleared
    2016-07-14

    (189 days)

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

    SUNRISE MEDICAL (US) LLC

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

    Quickie® and Zippie® power wheelchairs are battery-operated devices with wheels that are intended for medical purposes to provide mobility to persons restricted to a sitting position. The Zippie power wheelchairs are specifically for people who are slightly smaller in stature—including children.

    Device Description

    Quickie and Zippie wheelchairs are battery-powered, user-controlled, electric wheelchairs. All models of these wheelchairs will be offered with an optional wireless pointer control feature. This option entails adding a Bluetooth Mouse Module (BMM)—a small Bluetooth transmitter—mounted to the chair and wired into its control bus. With BMM in place, the wheelchair's controller can then use the pointer-control feature built into the BMM hardware and software. Pointer control can only be activated when the wheelchair is stationary and not actively performing wheelchair functions. The BMM lets users use the chair's joystick, or other input device, to control the pointer functions of Bluetooth-enabled devices (such as personal or tablet computers) while the chair is not in operation. The wireless pointer control feature will be offered on all models of the Quickie Pulse and Zippie ZM-310 series chairs. Technologically, all of these chair designs are identical. Model designations relate to widths and heights of their seats and various components: such as seating, wheels, and other options available. Quickie Pulse chairs are sized to fit medium to large size individuals Zippie ZM-310 chairs fit individuals of smaller stature—including children. These chairs, along with the BMM, are meant for use in healthcare facilities, in the home, outdoors, and other places of individual activity for the disabled.

    AI/ML Overview

    The provided text is a 510(k) summary for the Quickie Pulse and Zippie ZM-310 power wheelchairs with an optional wireless pointer control feature (Bluetooth Mouse Module - BMM). It describes the device, its intended use, technological characteristics, and performance data to demonstrate substantial equivalence to a predicate device.

    Regarding your request for "acceptance criteria and the study that proves the device meets the acceptance criteria," it's important to note that this document is for a medical device (powered wheelchair) and not an AI/ML-driven diagnostic tool. Therefore, the questions related to AI/ML performance metrics (e.g., sample size for test set, number of experts, adjudication methods, MRMC studies, standalone performance, ground truth for training set) are not applicable in this context.

    The "acceptance criteria" for this device are implicitly tied to safety and functional performance, particularly regarding the added Bluetooth Mouse Module (BMM) and its impact on the wheelchair's operation and electromagnetic compatibility. The "study" that proves the device meets these criteria is the non-clinical performance testing.

    Here's a breakdown of the relevant information from the document, tailored as much as possible to your request, while acknowledging that it's not an AI/ML device:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific Acceptance Criteria (Implicit from Testing)Reported Device Performance
    Operational PerformanceWireless pointer function operates without detriment to wheelchair function or features."Operational performance of wireless pointer function without detriment to wheelchair function or features" was achieved.
    Wheelchair's electrical braking holds on maximum slope during BMM operation."Chair's electrical braking continued to hold on a maximum slope during BMM operation."
    Wireless pointer function properly executes on typical external Bluetooth-enabled electronic devices from wheelchair inputs."Wireless pointer function properly executed on typical external Bluetooth-enabled electronic device from wheelchair inputs."
    Electromagnetic Compatibility (EMC)Immunity of the total chair system with BMM mounted and connected."Immunity of total chair system with BMM mounted and connected" was demonstrated during EMC testing.
    No effect on chair operation during BMM activation."No effect on chair during BMM activation" was demonstrated during EMC testing.
    Software QualificationWireless pointer function demonstrated while the chair is not in operation."Wireless pointer function demonstrated while chair not in operation, qualifying the BMM and its software by successful device performance."

    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: The document does not specify a numerical sample size for the test set. The performance data section describes types of tests conducted on the device itself (e.g., "chair's electrical braking," "BMM operation," "EMC testing"). This implies testing was done on the physical device, likely prototypes or production samples, rather than a "data set" in the AI/ML sense.
    • Data Provenance: Not explicitly stated, but standard practice for medical device testing like this would be in a controlled laboratory or testing facility within the manufacturer's operational region. It is not "retrospective or prospective" data in the clinical study sense; it's non-clinical engineering and functional testing.

    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 diagnostic device requiring expert interpretation for ground truth. The "ground truth" here is the physical reality of the device's function (e.g., brakes holding, wireless signal working without interference). This is typically established by engineers, technicians, and potentially regulatory compliance specialists following established test protocols.

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

    • Not Applicable. Adjudication methods like 2+1 or 3+1 are used in clinical studies, particularly for interpreting medical images or diagnoses where inter-reader variability exists. This document describes non-clinical performance and safety testing.

    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. An MRMC study is relevant for comparing diagnostic performance, often with AI assistance in clinical settings. This device is a powered wheelchair with an added Bluetooth feature; it is not a diagnostic tool requiring human reader performance evaluation.

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

    • Not Applicable. This refers to AI/ML algorithm performance. The "BMM" has software, but its "performance" is evaluated as part of the overall wheelchair system's function and electromagnetic compatibility, not as a standalone diagnostic algorithm.

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

    • The "ground truth" for this device is based on engineering standards and physical measurements of performance. For example:
      • Brake holding capability is verified against a specific angle/load (engineering spec).
      • EMC is verified against international standards (e.g., ANSI/RESNA WC2, extended frequency ranges) using proper measurement equipment.
      • Wireless pointer function is verified by observing its actual function with compatible external devices.

    8. The sample size for the training set

    • Not Applicable. This device does not use machine learning, so there is no concept of a "training set."

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

    • Not Applicable. As there is no training set for machine learning, this question is not relevant.

    In summary, the provided document describes a medical device in the context of a 510(k) submission, confirming its substantial equivalence to a predicate device. The "acceptance criteria" and "studies" are focused on engineering performance, safety, and electromagnetic compatibility for the physical device system, not on AI/ML diagnostic performance metrics.

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    K Number
    K142457
    Device Name
    Quickie, Zippie
    Date Cleared
    2014-12-18

    (107 days)

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

    Sunrise Medical (US) LLC

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

    Quickie® and Zippie® power wheelchairs are battery-operated devices with wheels that are intended for medical purposes to provide mobility to persons restricted to a sitting position. The Zippie® power wheelchairs are specifically for people who are slightly smaller in stature-including children.

    Device Description

    The Quickie® and Zippie® power wheelchairs are designed for indoor use at care facilities and private residences. The pediatric variant of the Quickie® Pulse 6, branded the Zippie® ZM-310, is intended to provide a slightly broader range of seating size options for people that are smaller in stature-including children. It varies from the Quickie® Pulse 6 only in having smaller seat options.

    The Quickie® and Zippie® power wheelchairs are center-wheel-drive battery-powered wheelchairs which will perform optimally on firm even surfaces such as concrete, asphalt and indoor flooring.

    The wheelchairs have steel and aluminum frame structure which is welded and utilizes standard foams and covers for the seat.

    The braking system can be initiated by either automatic or electric means. The brakes are automatically on except when the wheelchair is turned on and the joystick has been moved away from the neutral position. When the joystick is released or moved back to neutral, the brakes engage again. If the electrical brake system fails, the brakes will default to the closed, or "brakes on" position, thereby stopping the wheelchair.

    Actuators allow the seating to be adjusted to suit the user and activity.

    A control system (i.e. controller and joystick) controls motor, brakes, drive wheel and batteries. This product is appropriate for use by any individual who has the ability to drive a power wheelchair without having to utilize the services of an attendant. In addition, the controls give the optional capability for attendant control. The optional drive controller R-net system provides further features. The controller is fully programmable.

    AI/ML Overview

    This document is a 510(k) premarket notification from the FDA, approving a new powered wheelchair model as substantially equivalent to existing predicate devices. It does not contain information about acceptance criteria or a study proving that the device meets those criteria in the way typically seen for AI/ML medical devices. The performance data provided is for traditional medical device testing, not for AI algorithm performance.

    Here's why the requested information cannot be fully provided based on the input:

    • This is not an AI/ML device: The document describes powered wheelchairs, which are mechanical and electrical devices. There is no mention of any AI or machine learning components within these wheelchairs.
    • The "study" referenced is standard medical device testing: The document describes performance data related to biocompatibility, electrical safety, EMC, software verification/validation, and mechanical testing, which are standard for non-AI medical devices. These are not "studies" in the context of proving AI algorithm performance.
    • "Acceptance criteria" are for device functionality, not AI metrics: The document implies that the "acceptance criteria" are the successful completion of the described tests and adherence to relevant ANSI/RESNA Wheelchair standards, ensuring the device functions safely and effectively as a powered wheelchair. It does not relate to diagnostic performance metrics like sensitivity, specificity, or AUC, which would be relevant for an AI device.

    Therefore, many of the specific fields requested about AI device performance (e.g., sample size for test/training sets, experts for ground truth, MRMC study, standalone performance, type of ground truth for AI) are not applicable to the information contained in this FDA submission for a powered wheelchair.

    However, I can extract the relevant information pertaining to the device's acceptance criteria and the tests performed to demonstrate its safety and effectiveness, interpreting them within the context of a non-AI medical device submission.

    Acceptance Criteria and Device Performance (Interpreted for a Non-AI Device)

    1. Table of Acceptance Criteria and the Reported Device Performance:

    Acceptance Criteria CategoryAcceptance Criteria Met ByReported Device Performance
    Overall EquivalenceDemonstrated substantial equivalence to predicate devices (Quickie Rhapsody, MWD Series II Power Wheelchair, K062701; Quickie Rhythm Power Wheelchair, K083249)."Testing carried out for the Quickie® and Zippie® power wheelchairs indicates that they meet design and performance functional requirements and function equivalently to the predicate devices meet the relevant ANSI/RESNA Wheelchair standards. This information indicates that the Quickie® and Zippie® power wheelchairs are equivalent to the predicate devices in terms of device safety and effectiveness."
    BiocompatibilityUse of materials identical to those in the primary predicate device for patient contact."The materials used for the Quickie® and Zippie® power wheelchair components which have patient contact are the same as those used in the primary predicate device. Therefore, further testing was not required."
    Electrical Safety & EMCCompliance with relevant ANSI/RESNA Wheelchair standards for electrical safety and electromagnetic compatibility. Functional verification and device performance."Electrical safety and electromagnetic compatibility testing of Quickie® and Zippie® power wheelchairs was carried out... Testing established correct functionality of the wheelchairs according to the relevant ANSI/RESNA Wheelchair standards."
    Software Verification & ValidationSoftware within the drive control units is identical to that of the predicate device, with a Letter of Authorization provided for the Master File access."The software in the two products is identical. A Letter of Authorization was provided by the supplier of the drive controller units in order access the medical device Master File for the controllers." (This implies the software meets established safety and functionality standards by being identical to a previously approved component).
    Mechanical TestingCompliance with relevant ANSI/RESNA Wheelchair standards for mechanical performance. Functional verification and device performance."Mechanical testing of Quickie® and Zippie® power wheelchairs was carried out to cover functional verification and device performance. Testing established correct functionality of the wheelchairs according to the relevant ANSI/RESNA Wheelchair standards."
    (Non-Applicable)Acoustic testing was not required to demonstrate device safety and effectiveness. Animal performance testing was not required to demonstrate device safety and effectiveness. Clinical testing was not required to demonstrate the safety and effectiveness."No acoustic testing was required to demonstrate device safety and effectiveness of the wheelchair." "Animal performance testing was not required to demonstrate device safety and effectiveness of the wheelchair." "Clinical testing was not required to demonstrate the safety and effectiveness of the wheelchair."

    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: Not explicitly stated as a "test set" in the context of an AI algorithm. The testing described (biocompatibility, electrical safety/EMC, mechanical) would typically involve a small number of physical samples of the manufactured device.
    • Data Provenance: Not applicable in the context of AI data. The "data" here refers to the results of engineering and material tests performed on the physical wheelchairs, not patient data.

    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 document pertains to the physical and functional safety of a powered wheelchair, not a diagnostic AI algorithm requiring expert-established ground truth from images or other clinical data.

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

    • Not applicable. This term relates to expert review for AI ground truth. For the physical device testing, adherence to standards and test protocols by qualified engineers and technicians would be the "adjudication" mechanism.

    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, not applicable. This type of study is specifically for AI diagnostic/interpretive devices where human readers (e.g., radiologists) might use AI assistance. This document is about a powered wheelchair.

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

    • No, not applicable. There is no standalone algorithm being evaluated as part of this device submission. The "software" mentioned controls the wheelchair's drive units, embedded in the device itself, and its functionality is assessed as part of the overall device's electrical and mechanical tests.

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

    • Not applicable in the AI sense. The "ground truth" for this device would be objective measurements and criteria defined by engineering standards (e.g., ANSI/RESNA Wheelchair standards for braking effectiveness, battery life, structural integrity, electrical safety parameters).

    8. The sample size for the training set:

    • Not applicable. There is no AI model that requires a training set for this device.

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

    • Not applicable. There is no AI model that requires a training set for this device.
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    K Number
    K133855
    Device Name
    BREEZY ELEGANCE
    Date Cleared
    2014-01-31

    (43 days)

    Product Code
    Regulation Number
    890.3850
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    SUNRISE MEDICAL (US) LLC

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

    Breezy Elegance Folding Manual Wheelchairs are manually operated devices with wheels that are intended for medical purposes to provide mobility to persons restricted to a sitting position.

    Device Description

    The product offering consists of a standard folding aluminum wheelchair. (Standard in the sense that it is not built to a specific order, rather it will be built to inventory.)
    The wheelchairs are

    • User-propelled, as such, chair has 24" wheels with attached handrims
    • Foldable (using a cross-brace design) for easier transport and stowage
      The device comprises
    • Cross-braced folding frame
    • Quick-release Axle
    • Large rear wheels with handrims for self-propulsion
    • Smaller front wheels on casters for stability
    • Padded seat sling material designed to support a seat cushion and to fold when the wheelchair frame is folded
    • An upholstered backrest designed to fold when the wheelchair frame is folded, pre-set angle to 8
    • Push handles at top of backrest to allow attendant to aid mobility of rider
    • Swing-away armrests and swing-in/swing-out legrests (with footplates)
      Available Options
      Elevating legrest
      Anti-tip Tubes
    AI/ML Overview

    The provided text describes the 510(k) summary for the Breezy Elegance Manual Folding Wheelchair, which is a Class I medical device. For such devices, the primary "acceptance criteria" are typically demonstrating substantial equivalence to a predicate device and adherence to general controls and recognized standards, rather than specific performance metrics like sensitivity or specificity that are common for AI/diagnostic devices. The study that proves the device meets these criteria is the submission itself, which outlines how the Breezy Elegance wheelchair is substantially equivalent to the Quickie Q2 Lite.

    Here's the information broken down based on your request, keeping in mind the nature of this device:


    Acceptance Criteria and Device Performance for Breezy Elegance Folding Manual Wheelchair

    1. Table of Acceptance Criteria and Reported Device Performance

    Given that this is a Class I mechanical device (manual wheelchair), the "acceptance criteria" revolve around demonstrating substantial equivalence to a legally marketed predicate device and compliance with general safety and performance expectations for such devices. Specific quantitative performance metrics (like sensitivity, specificity, or F1-score) common for AI/diagnostic devices are not applicable.

    Acceptance Criteria CategorySpecific Criteria (Expected for Wheelchairs)Reported Device Performance/Findings
    Intended UseProvides mobility to persons restricted to a sitting position.Identical: Provides mobility to persons restricted to a sitting position.
    MaterialsUse of materials common in wheelchair construction (e.g., aluminum, steel, fabric, plastics) that do not raise new safety concerns.Substantially Equivalent: Aluminum frame, support members, wheels, components; Steel fasteners and components; Flexible polymeric tires; Fabric covered foam upholstery; Fabric straps and slings. No new biocompatibility issues raised.
    Operating PrincipleUser-propelled by hand pressure; wheel locks; quick-release hubs; cross-braced, hinged frame for folding; seat/back upholstery; adjustable legrests; push handles.Identical: User propelled by hand pressure against handrims; wheel locks; quick release wheel hubs; cross-braced, hinged frame for folding; seat cushion and back upholstery; adjustable, swing-away legrests; push handles.
    Energy SourceUser propelled.Identical: User propelled.
    TechnologyStandard mechanical wheelchair construction and operation.Identical: Standard mechanical wheelchair construction and operation.
    Safety and PerformanceAccomplishes performance similar to the predicate device in a way that raises no new issues of safety or effectiveness. Adherence to recognized wheelchair standards.Substantially Equivalent: Accomplishes the same performance in the same way as the predicate with "slightly more weight and weight carrying capacity." No new issues of safety or effectiveness. Design verified and validated.
    BiocompatibilityMaterials in contact with skin (momentary/transient) do not raise biocompatibility issues.Evaluation: Momentary/transient contact with uncompromised skin on hands/arms using aluminum, steel, nylon fabric, hard/soft plastics for various parts; handrim and armrest materials are identical to predicate, raising no new issues.
    Design ControlsAdherence to Design Control requirements per 21 CFR 820.30.Design Verification: Testing/demonstration that all essential specifications show equivalent performance to recognized wheelchair standards or to the predicate device.
    Human Factors/UsabilityDemonstration of fitness for intended use.Design Validation: Third-party evaluation of chair performance, human factors, and usability demonstrate fitness of design.

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

    For this type of mechanical device, the "test set" refers to the physical units of the device that underwent design verification and validation. The document states:

    • Sample Size for Test Set: Not explicitly specified as a number of units. The testing involved "testing/demonstration" for design verification and "Third-party evaluation" for design validation. This typically implies testing a representative sample or prototypes to ensure manufacturing and performance consistency. Specific numerical sample sizes are not provided in this summary.
    • Data Provenance: The testing and evaluation for design verification and validation were conducted by Sunrise Medical (US) LLC (the manufacturer) and a "third-party." The country of origin for this testing data is not explicitly stated, but given the manufacturer's location (Fresno, CA, USA) and the FDA submission, it is assumed to be primarily U.S.-based. The nature of the testing is prospective in that it refers to tests conducted on the proposed device design.

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

    For a mechanical wheelchair, "ground truth" is established through engineering and biomechanical testing against recognized standards and functional requirements, as well as human factors and usability evaluations.

    • Number of Experts: Not explicitly stated. The document refers to "third-party evaluation" for design validation, which would involve qualified engineers, user groups, and human factors specialists.
    • Qualifications of Experts: Not explicitly detailed. These experts would typically include biomedical engineers, mechanical engineers, and potentially physical therapists or other healthcare professionals familiar with wheelchair functionality and user needs for the "human factors and usability" assessment.

    4. Adjudication Method for the Test Set

    The concept of "adjudication method" (e.g., 2+1, 3+1) is typically used in clinical studies or diagnostic imaging assessments where multiple human readers interpret data, and discrepancies need to be resolved. This is not applicable to the engineering design verification and validation of a mechanical wheelchair. For this device, acceptance is based on meeting pre-defined engineering specifications, performance against recognized standards, and successful completion of human factors evaluations.


    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    No, an MRMC comparative effectiveness study was not done. This type of study is relevant for evaluating diagnostic accuracy with human readers, often involving AI assistance. It is not applicable to the regulatory submission for a mechanical wheelchair.


    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

    No, a standalone (algorithm only) performance evaluation was not done. This concept is specific to AI/software devices. The Breezy Elegance is a purely mechanical device.


    7. The Type of Ground Truth Used

    The "ground truth" for evaluating the Breezy Elegance wheelchair primarily involved:

    • Engineering Specifications and Recognized Standards: The device was tested against design specifications and relevant wheelchair standards (e.g., ISO, ANSI/RESNA standards, though not explicitly listed by name in this summary). The predicate device's performance also serves as a benchmark for equivalence.
    • Functional Performance Data: Data from bench tests and evaluations confirming the wheelchair's mechanical integrity, durability, and functional operation (e.g., folding mechanism, wheel performance, brake effectiveness, weight capacity).
    • Usability and Human Factors Data: Outcomes from third-party evaluations confirming the device's fitness for intended use from a user's perspective.

    There is no "pathology" or "outcomes data" in the clinical trial sense for this type of device submission.


    8. The Sample Size for the Training Set

    This question is not applicable. The Breezy Elegance is a mechanical device, not an AI or software algorithm that requires a "training set."


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

    This question is not applicable, as there is no "training set" for this mechanical device.

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    K Number
    K123975
    Manufacturer
    Date Cleared
    2013-08-16

    (233 days)

    Product Code
    Regulation Number
    890.3850
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    SUNRISE MEDICAL

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

    The Sunrise Medical Zippie and Quickie Series Wheelchairs are intended to provide mobility to persons limited to a sitting position.

    Device Description

    Not Found

    AI/ML Overview

    I am sorry, but the provided text does not contain information about the acceptance criteria or a study proving that a device meets those criteria. The document is an FDA 510(k) clearance letter for various models of wheelchairs, confirming their substantial equivalence to predicate devices and outlining regulatory requirements. It does not include details on performance metrics, study designs, sample sizes, expert qualifications, or ground truth establishment relevant to the request.

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    K Number
    K093070
    Manufacturer
    Date Cleared
    2010-01-26

    (118 days)

    Product Code
    Regulation Number
    868.5895
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    SUNRISE MEDICAL

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

    The DeVilbiss IntelliPAP/SleepCube Model DV56 ST Series Bilevel is intended for use in treating OSA in spontaneously breathing patients 30 Kg and above by means of application of positive air pressure. The Device is to be used in home and clinical environments.

    Device Description

    The role of the product from a patient's point of view is to provide a continuous source of bilevel positive airway pressure for the treatment of sleep apnea. Positive airway pressure is applied to the oropharynx to act as a pneumatic splint to prevent the collapse of the pharyngeal muscle, which occludes the patient airway during sleep. Bilevel units are used over conventional CPAP units due to high pressures and/or patient intolerance to continuous pressure, making exhalation difficult. The DeVilbiss Bilevel ST product will replace the 9055D in the sleep product line as well as provide a new product offering where time backup rate is necessary. The product will have a reduced manufactured cost, primarily derived from reduced material costs and improved engineering design associated with the existing IntelliPAP/SleepCube product platform. The market has dictated a need for lower cost and smaller sized bilevel units as well as improved functionality such as timed backup rate and manually adjustable inhale/exhale triggering sensitivity. The triggering sensitivity overall must be increased as much as possible to be competitive with other bilevel ST devices currently available. Automatic and manual inhale/exhale trigger sensitivity is to be provided to allow the clinician to customize trigger parameters for specific operating conditions. The DeVilbiss IntelliPAP/SleepCube Bilevel ST product is not intended to meet the needs for the "ventilator" market, which necessitates features such as alarms, higher operating pressures and other ventilator specific functions

    AI/ML Overview

    This 510(k) submission describes the DeVilbiss IntelliPAP/SleepCube Bilevel ST device, intended for treating Obstructive Sleep Apnea (OSA). The submission focuses on demonstrating substantial equivalence to predicate devices through non-clinical testing.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided text does not explicitly list specific acceptance criteria (e.g., numerical thresholds for accuracy, sensitivity, or specificity) or detailed reported device performance in a quantitative way for the DeVilbiss IntelliPAP/SleepCube Bilevel ST device.

    Instead, the submission states that:

    Acceptance Criteria (Implicit)Reported Device Performance
    Compliance with appropriate ISO, ASTM, and IEC standards and other applicable requirements."This device has been tested to appropriate ISO, ASTM, and IEC standards and other applicable requirements passing all test protocols."
    Adherence to FDA's Draft Reviewer Guidance for Premarket Notification Submissions - Anesthesiology and Respiratory Devices."The DeVilbiss DV56 ST Series Bilevel CPAP was designed and tested according to guidance outlined in: 1. FDA's Draft Reviewer Guidance for Premarket Notification Submissions -Anesthesiology and Respiratory Devices Branch; Division of Cardiovascular, Respiratory, and Neurological Devices (November 1993)... As suggested by FDA's November 1993 publication... the DeVilbiss Bilevel S/ST was tested in accordance with the applicable voluntary standards. The DeVilbiss Bilevel S/ST met the required performance criteria and functioned as intended."
    Adherence to FDA "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices.""The DeVilbiss DV56 ST Series Bilevel CPAP was designed and tested according to guidance outlined in: ...2. FDA 'Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices' (May 11, 2005)." (Implied compliance by testing according to guidance).
    Substantial equivalence to predicate devices in terms of meeting performance criteria and functioning as intended."Analysis of comparison of design, function and features of the DeVilbiss Bilevel ST to the Resmed VPAP ST (K080131), DeVilbiss 9055 Bilevel (K032056) and DeVilbiss Intellipap (K071689), together with the results of testing demonstrates the device to be substantially equivalent to the predicate devices in terms of meeting performance criteria and functioning as intended." The submission also notes the device "met the required performance criteria and functioned as intended." and "does not raise any new issues of safety and effectiveness." The device's technological characteristics are similar (same intended use, operating principle, basic Bilevel modes, and materials). The market dictates a need for "increased" triggering sensitivity "to be competitive".
    To provide a continuous source of bilevel positive airway pressure for the treatment of sleep apnea effectively."The role of the product from a patient's point of view is to provide a continuous source of bilevel positive airway pressure for the treatment of sleep apnea." (Functionality is implicitly met through testing and substantial equivalence).

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

    The provided text does not specify a sample size for a test set (e.g., number of patients or clinical cases). The testing described is "Non-Clinical Testing" and refers to compliance with standards and guidance documents. There is no mention of data provenance (e.g., country of origin, retrospective or prospective) as it pertains to patient data, because this was not a clinical study involving patients for direct performance evaluation.

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

    This information is not applicable to the provided text. The device underwent non-clinical standard testing and comparison to predicate devices, not evaluation against expert-established ground truth in a clinical setting.

    4. Adjudication Method for the Test Set

    This information is not applicable as there was no clinical test set requiring expert adjudication.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    A Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not conducted or reported in this submission. The submission focuses on demonstrating substantial equivalence through engineering and standards compliance, not on comparing human reader performance with or without AI assistance. The device is a medical device (CPAP machine), not an AI-powered diagnostic tool for interpretation.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    This information is not applicable in the context of this device. The DeVilbiss IntelliPAP/SleepCube Bilevel ST is a therapeutic device that delivers positive airway pressure, not an algorithm, and it always operates with a "human-in-the-loop" (the patient and prescribing clinician). The testing focused on the device's mechanical and software performance against established engineering standards and specifications.

    7. Type of Ground Truth Used

    The ground truth used for this submission's non-clinical testing was based on engineering specifications, regulatory guidance, and performance criteria outlined in applicable ISO, ASTM, and IEC standards. The device's functionality was evaluated against these predefined technical benchmarks and its ability to act as a therapeutic device for OSA, consistent with the intended use. It was also compared to the performance and characteristics of predicate devices. There is no mention of pathology, expert consensus (in a clinical interpretation sense), or patient outcomes data from a study for establishing ground truth.

    8. Sample Size for the Training Set

    This information is not applicable. The Device is not an AI/ML device that requires a training set of data.

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

    This information is not applicable as there was no training set for an AI/ML algorithm.

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    K Number
    K091919
    Manufacturer
    Date Cleared
    2009-09-28

    (90 days)

    Product Code
    Regulation Number
    868.5905
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    SUNRISE MEDICAL

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

    The DeVilbiss IntelliPAP/SleepCube Model DV55 S Series is intended for use in treating OSA in spontaneously breathing patients 30 Kg and above by means of application of positive air pressure. The Device is to be used in home and clinical environments.

    Device Description

    The role of the product from a patient's point of view is to provide a continuous source of bilevel positive airway pressure for the treatment of sleep apnea. Positive airway pressure is applied to the oropharynx to act as a pneumatic splint to prevent the collapse of the pharyngeal muscle, which occludes the patient airway during sleep. Bilevel units are used over conventional CPAP units due to high pressures and/or patient intolerance to continuous pressure, making exhalation difficult. The DeVilbiss Bilevel S product will replace the 9055D in the sleep product line as well as provide a new product offering. The product will have a reduced manufactured cost, primarily derived from reduced material costs and improved engineering design associated with the existing Intellipan/SleepCube product platform. The market has dictated a need for lower cost and smaller sized bilevel units as well as improved functionality such as manually adjustable inhale/exhale triggering sensitivity. The triggering sensitivity overall must be increased as much as possible to be competitive with other bilevel devices currently available. Automatic and manual inhale/exhale trigger sensitivity is to be provided to allow the clinician to customize trigger parameters for specific operating conditions. The DeVilbiss Intellipap/SleepCube Bilevel S product is not intended to meet the needs for the "ventilator" market, which necessitates features such as alarms, higher operating pressures and other ventilator specific functions

    AI/ML Overview

    The provided text describes the DeVilbiss Intellipap/SleepCube Model DV55 S Series CPAP and its regulatory submission. However, it does not contain information about acceptance criteria, device performance, a specific study proving the device meets acceptance criteria, or any of the detailed metrics requested in your prompt.

    The document is a 510(k) summary, which focuses on demonstrating substantial equivalence to predicate devices rather than presenting a detailed performance study with acceptance criteria and results for the new device itself.

    Here's what can be extracted and what is explicitly missing based on your request:

    1. Table of Acceptance Criteria and Reported Device Performance:

    • Missing. The document states that "This device has been tested to appropriate ISO, ASTM, and IEC standards and other applicable requirements passing all test protocols." and "The DeVilbiss Bilevel S/ST met the required performance criteria and functioned as intended." However, it does not provide a table outlining specific numerical acceptance criteria (e.g., pressure accuracy, trigger sensitivity thresholds) or the measured performance values of the device against those criteria.

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

    • Missing. No information on sample size or data provenance for any specific test set is provided. It mentions testing "according to guidance" and "applicable voluntary standards" but not details of the tests themselves.

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

    • Missing. This type of information is generally relevant for studies involving human interpretation (e.g., image analysis, clinical diagnosis), which is not detailed here. The testing described is primarily non-clinical/engineering.

    4. Adjudication Method for the Test Set:

    • Missing. Not applicable given the lack of detail on the test set and ground truth establishment.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done:

    • Missing. An MRMC study involves human readers, and no such study is described. The document focuses on the device's technical characteristics and comparison to predicate devices, not human-in-the-loop performance.

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

    • Partially Addressed (implied, but without specifics): The document implies standalone (non-clinical/engineering) testing was done. It states: "This device has been tested to appropriate ISO, ASTM, and IEC standards and other applicable requirements passing all test protocols." and "The DeVilbiss Bilevel S/ST met the required performance criteria and functioned as intended." This refers to the device's inherent performance. However, there are no specific performance metrics or studies detailed.

    7. The type of ground truth used:

    • Implied (Engineering Standards): For the non-clinical testing mentioned, the "ground truth" would be the specifications and requirements defined by the referenced ISO, ASTM, IEC standards, and other applicable regulatory guidance. No specific "ground truth" like pathology or outcomes data is relevant or mentioned.

    8. The Sample Size for the Training Set:

    • Not Applicable / Missing: This device is a CPAP machine, not an AI/machine learning algorithm that requires a "training set" in the conventional sense. The "development" would involve engineering design and validation, not model training.

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

    • Not Applicable / Missing: As above, this concept doesn't apply to this type of medical device submission.

    In summary, the provided document is a regulatory filing focused on establishing substantial equivalence for a medical device (a CPAP machine). It confirms that testing was performed according to standards and that the device met required performance criteria, but it does not provide the granular detail about specific acceptance criteria, test results, study methodology, or sample sizes for performance evaluation that your questions request. To obtain that information, one would typically need access to the full test reports or design validation documentation, which are not part of this publicly available 510(k) summary.

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    K Number
    K083249
    Device Name
    QUICKIE RHYTHM
    Date Cleared
    2008-12-23

    (49 days)

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

    SUNRISE MEDICAL HHG, INC.

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

    The Sunrise Medical Quickie Rhythm Powered Wheelchairs intended use is to provide mobility to persons limited to a seating position that have the capability of operating a powered wheelchair. The Quickie Rhythm Power Wheelchairs provide an optional means of mobility for physically challenged people.

    Device Description

    Not Found

    AI/ML Overview

    This document is a 510(k) clearance letter from the FDA for a powered wheelchair, not a study evaluating a medical device's performance against acceptance criteria. Therefore, the requested information (acceptance criteria, study details, sample sizes, ground truth establishment, expert qualifications, etc.) is not present in the provided text.

    The letter simply states that the device is substantially equivalent to legally marketed predicate devices, allowing it to be marketed. It does not contain any performance data or study results.

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    K Number
    K082209
    Manufacturer
    Date Cleared
    2008-10-28

    (84 days)

    Product Code
    Regulation Number
    868.5905
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    SUNRISE MEDICAL

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

    The DeVilbiss SmartLink System can only be used in conjunction with the DV51 and DV54 Series CPAP Systems for follow up of obstructive sleep apnea patients weighing above 30 kg on nasal CPAP therapy.

    Device Description

    Not Found

    AI/ML Overview

    The provided text is a 510(k) clearance letter from the FDA for a medical device called the "DeVilbiss DV5M Smartlink System." This document grants market clearance based on substantial equivalence to a predicate device and does not contain any information about acceptance criteria, device performance, validation studies, sample sizes, ground truth establishment, or expert qualifications.

    Therefore, I cannot fulfill your request to describe the acceptance criteria and the study that proves the device meets those criteria, as this information is not present in the provided document.

    To answer your request, I would need a different document, such as a summary of safety and effectiveness, a clinical study report, or a detailed technical specification of the device and its validation.

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