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510(k) Data Aggregation

    K Number
    K191874
    Device Name
    F5 Corpus VS
    Manufacturer
    Date Cleared
    2019-10-25

    (105 days)

    Product Code
    Regulation Number
    890.3900
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The F5 Corpus VS powered wheelchair is to provide indoor mobility, including stand-up feature, to persons limited to a seating position that are capable of operating a powered wheelchair.

    Device Description

    F5 Corpus VS Powered Wheelchair is battery powered, front wheel motor driven and is controlled by the R-net 120 amp controller. The user interface is a joystick. The F5 Corpus VS is powered by two 12VDC, Group M24, approximate driving range on fully charged batteries is up to 25km (15.5 miles), depending on use and the terrain the chair is driven on. The chair frame is a steel construction and includes two front drive units (motor, gear and brake), two batteries and two rear pivoting casters. Depending on the user's needs, the joystick motor control is mounted to the left or right armrest. When the user activates the joystick, the controller receives a signal to release the brakes. With the brakes released, the chair is allowed to move in the joystick is actuated. When the user releases the joystick, the chair slows to a stop and the brakes are automatically re-engaged. The solenoid electromechanical brakes allow the user to stop by letting go of the joystick. F5 Corpus VS will enable the user to stand up, completely or partially, to facilitate reaching, working eye to eye with colleagues. The standing sequence is controlled by the joystick and gives the user the possibility to come to a standing position. The seating, chest support and knee stop stabilize the user during the stand-up or sitdown operation.

    AI/ML Overview

    This document (K191874) is a 510(k) premarket notification for a powered wheelchair, the F5 Corpus VS. It compares the device to two predicates: the Quickie® Q700-UP M (K172384) and the F5 (K143014).

    Based on the provided text, here is an analysis of the acceptance criteria and study information:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally demonstrated by compliance with various ISO and RESNA standards for wheelchairs. The document does not present a single table explicitly listing "acceptance criteria" against "reported device performance" in a quantitative manner for all aspects. Instead, it states compliance with standards and provides some performance specifications when comparing the device to its predicates.

    Here's an attempt to compile relevant information, though a direct "acceptance criteria" column is not explicitly defined in the document for each performance characteristic:

    Performance CharacteristicAcceptance Criteria (Implied by Standards)Reported Device Performance (F5 Corpus VS)
    Static StabilityComplies with ISO 7176-1:1999Complies with ISO 7176-1:1999
    Dynamic StabilityComplies with ISO 7176-2:2001Complies with ISO 7176-2:2001
    Brake EffectivenessComplies with ISO 7176-3:2003Complies with ISO 7176-3:2003
    Energy Consumption / Theoretical Distance RangeComplies with ISO 7176-4:2008Complies with ISO 7176-4:2008
    Overall Dimensions, Mass, Maneuvering SpaceComplies with ISO 7176-5:2008Complies with ISO 7176-5:2008
    Maximum Speed, Acceleration, DecelerationComplies with ISO 7176-6:2001Complies with ISO 7176-6:2001 (Max speed: Up to 12 km/h (7.5 mph) forward, 4.4 km/hr (3 mph) reverse)
    Seating and Wheel DimensionsComplies with ISO 7176-7:1998Complies with ISO 7176-7:1998
    Static, Impact, Fatigue StrengthsComplies with ISO 7176-8:1998Complies with ISO 7176-8:1998
    Climatic TestsComplies with ISO 7176-9:2009Complies with ISO 7176-9:2009
    Obstacle-Climbing AbilityComplies with ISO 7176-10:2008Complies with ISO 7176-10:2008 (Max obstacle height: 3" / 75 mm, not in standing mode)
    Test DummiesComplies with ISO 7176-11:2012Complies with ISO 7176-11:2012
    Coefficient of Friction of Test SurfacesComplies with ISO 7176-13:1989Complies with ISO 7176-13:1989
    Power and Control SystemsComplies with ISO 7176-14:2008Complies with ISO 7176-14:2008 (PG R-Net PM 120 120Amp electronics)
    Information Disclosure, Documentation, LabelingComplies with ISO 7176-15:1996Complies with ISO 7176-15:1996
    Resistance to Ignition of Postural Support DevicesComplies with ISO 7176-16:2012Complies with ISO 7176-16:2012
    Wheeled Mobility Devices for Use as Seats in Motor VehiclesComplies with ISO 7176-19:2008Complies with ISO 7176-19:2008
    Electromagnetic Compatibility (EMC)Complies with ISO 7176-21:2009Complies with ISO 7176-21:2009 (20V/m modulated 80% AM)
    Set-up ProceduresComplies with ISO 7176-22:2014Complies with ISO 7176-22:2014
    Batteries and ChargersComplies with ISO 7176-25:2013Complies with ISO 7176-25:2013 (2 x 12V 73 Ah gel Group M24 battery)
    VocabularyComplies with ISO 7176-26:2007Complies with ISO 7176-26:2007
    Performance of Stand-up Type WheelchairsComplies with RESNA WC-1:2009 Section 20Complies with RESNA WC-1:2009 Section 20
    Maximum Incline AngleMaximum incline angle for safe operation
    Driving RangeAcceptable driving range for powered wheelchairsUp to 25 km (16 miles) on fully charged battery
    Weight Bearing CapacityMax user weight136 kg (300 lbs)
    Turning RadiusWithin acceptable limits for maneuverability762.5 mm (30")

    The document emphasizes that the F5 Corpus VS passes the requirements in ISO 7176 and RESNA WC-1:2009 Section 20.


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

    The document refers to "Non-Clinical Testing" which involves compliance with a long list of ISO standards and RESNA WC-1. These are physical performance tests for the device itself (e.g., stability, brake effectiveness, strength).

    • Sample size for the test set: Not explicitly stated as a number of devices or units. Typically, for device performance testing against standards, a representative sample (e.g., a few units or prototypes) is tested. The nature of these tests does not involve patient data or human subjects for the "test set" in the context of an AI/algorithm study.
    • Data provenance: Not applicable in the context of patient data for an algorithm. The tests are for the physical wheelchair device. The Permobil AB company is based in Sweden. The tests were conducted to international standards.

    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 information is not applicable as the device is a physical powered wheelchair, not an AI/algorithm that requires expert-established ground truth from medical images or patient data. The "ground truth" here is the physical performance of the device as measured by standardized engineering and safety tests.


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

    This information is not applicable as the device is a physical powered wheelchair, not an AI/algorithm study involving adjudication of clinical findings. Compliance with standards is typically measured objectively through specified test procedures.


    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 information is not applicable. The device is a physical powered wheelchair. There is no AI component or human reader in the context of medical image interpretation that would warrant an MRMC study.


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

    This information is not applicable. The device is a physical powered wheelchair, not a standalone algorithm.


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

    The "ground truth" for the F5 Corpus VS device is its physical performance, safety, and functional characteristics as measured and validated against established international standards (ISO 7176 series and RESNA WC-1:2009 Section 20). These standards define objective test methods and acceptable performance limits.


    8. The sample size for the training set

    This information is not applicable. The device is a physical powered wheelchair. There is no AI/algorithm being trained on a dataset. The design and manufacturing process would involve engineering principles and testing, not machine learning training.


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

    This information is not applicable for the same reasons as in point 8.

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    K Number
    K143014
    Device Name
    F5
    Manufacturer
    Date Cleared
    2015-03-25

    (156 days)

    Product Code
    Regulation Number
    890.3860
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The intended use of the F5 powered wheelchair is to provide indoor mobility to persons limited to a seating position that are capable of operating a powered wheelchair.

    The intended use of the F5 powered wheelchair is to provide outdoor and indoor mobility to persons limited to a seated position that are capable of operating a powered wheelchair.

    Device Description

    F5 Powered Wheelchair is battery powered, front wheel motor driven and is controlled by the R-net 120 amp controller. The user interface is a joystick.

    The F5 is powered by two 12VDC 73Ah. Group M24. approximate driving range on fully charged batteries is up to 25km (15.5 miles), depending on use and the terrain the chair is driven on. The chair frame is a steel construction and includes two front drive units (motor, gear and brake), two batteries and two rear pivoting casters. Depending on the user's needs, the joystick motor control is mounted to the left or right armrest.

    When the user activates the joystick, the controller receives a signal to release the brakes. With the brakes released, the chair is allowed to move in the joystick is actuated. When the user releases the joystick, the chair slows to a stop and the brakes are automatically reengaged. The solenoid electromechanical brakes allow the user to stop by letting go of the joystick.

    AI/ML Overview

    This document is a 510(k) premarket notification for the Permobil F5 Powered Wheelchair. It does not describe a study involving an AI/ML device, but rather a traditional medical device (a powered wheelchair). Therefore, most of the questions relating to acceptance criteria, ground truth, expert adjudication, and AI performance metrics are not applicable.

    However, I can extract information related to the device's performance based on the provided safety and performance standards.

    Here's the relevant information based on the provided text:

    1. Table of acceptance criteria and the reported device performance

    For a traditional medical device like a powered wheelchair, "acceptance criteria" are typically defined by compliance with recognized performance standards. The "reported device performance" is implicitly that the device met these standards, as indicated by the statement "The F5 complies to the below standards" and "The submitted device are tested and having same or improved results as the already predicated device."

    Acceptance Criteria (Standard)Reported Device Performance
    ISO 7176-1: Determination of static stabilityComplies (tested and same/improved results as predicate)
    ISO 7176-2: Determination of dynamic stability of electric wheelchairsComplies (tested and same/improved results as predicate)
    ISO 7176-3: Determination of efficiency of brakesComplies (tested and same/improved results as predicate)
    ISO 7176-4: Energy consumption for determination of theoretical distance rangeComplies (tested and same/improved results as predicate)
    ISO 7176-5: Determination of dimensions, mass and maneuverings spaceComplies (tested and same/improved results as predicate)
    ISO 7176-6: Determination of maximum speed, acceleration and decelerationComplies (tested and same/improved results as predicate)
    ISO 7176-8: Requirements and test methods for static, impact and fatigue strengthsComplies (tested and same/improved results as predicate)
    ISO 7176-9: Climatic tests for electric wheelchairsComplies (tested and same/improved results as predicate)
    ISO 7176-10: Determination of obstacle-climbing abilityComplies (tested and same/improved results as predicate)
    ISO 7176-11: Test dummiesComplies (used in testing as per standard)
    ISO 7176-14: Power and control systems - Requirements and test methodsComplies (tested and same/improved results as predicate)
    ISO 7176-15: Requirements for information disclosure, documentation and labelingComplies
    ISO 7176-16: Resistance to ignition of postural support devicesComplies (tested and same/improved results as predicate)
    ISO 7176-19: Wheeled mobility devices for use in motor vehiclesComplies (if applicable to this device; not specified otherwise)
    ISO 7176-21: Electromagnetic compatibility (EMC)Complies (tested and same/improved results as predicate)

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

    This information is not provided in the document. For a physical device like a wheelchair, "test set" would typically refer to the specific units or prototypes of the device that underwent testing. The document states "The submitted device are tested," implying testing was performed on at least one F5 unit, but the exact number is not specified. The manufacturer, Permobil AB, is based in Timrå, Sweden, so the testing would likely have been conducted there or by a certified testing facility.

    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 is not applicable as this is a physical device, not an AI/ML diagnostic tool requiring expert interpretation for ground truth. The "ground truth" for a wheelchair's performance is determined by meeting objective engineering and safety standards.

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

    Not applicable for a physical device compliance 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. This is a physical device, not an AI/ML-assisted diagnostic tool.

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

    Not applicable. This is a physical device.

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

    The "ground truth" for the F5 Powered Wheelchair is defined by its compliance with internationally recognized safety and performance standards (ISO 7176 series). This involves objective measurements and tests rather than subjective expert consensus.

    8. The sample size for the training set

    Not applicable. This is not an AI/ML device so there is no training set.

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

    Not applicable.

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