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510(k) Data Aggregation

    K Number
    K072027
    Device Name
    FORU KV10HB
    Date Cleared
    2007-08-20

    (27 days)

    Product Code
    Regulation Number
    890.3860
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    FORU KV10HB

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

    The ForU KV10HB powered wheelchair is motor driven, indoor and outdoor transportation vehicles with the intended use to provide mobility to disabled or elderly persons limited to a seated position.

    Device Description

    The ForU powered wheelchair is an indoor/outdoor powered wheelchair that is battery operated. The design of this wheelchair is basically similar to other powered wheelchairs that are already on the market. But the ForU KV10HB is kind oh a new class of lightweight powered wheelchair. By providing a powered wheelchair that breaks down into two manageable components (seat frame, body frame with motors and battery pack), a user can have a more practical alternative when traveling long distances by bus, train, etc.

    AI/ML Overview

    This document is a 510(k) premarket notification for the ForU KV10HB powered wheelchair, seeking substantial equivalence to a predicate device (CWD01, K062888). As such, it primarily focuses on comparing specifications to demonstrate equivalence rather than presenting an independent study with defined acceptance criteria and performance metrics for the ForU KV10HB in isolation.

    Therefore, many of the requested elements regarding acceptance criteria, study details, and ground truth establishment are not directly applicable or explicitly stated in this type of regulatory submission. The goal here is to show similarity to an already approved device, not necessarily to prove independent performance against specific thresholds in a detailed clinical or technical study.

    However, based on the provided text, I can extract information related to the comparison table and address the relevant questions.

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria in a 510(k) submission are implicitly defined by the specifications of the predicate device. The applicant essentially claims that their device's performance is "substantially equivalent" to the predicate, meaning any differences do not raise new questions of safety or effectiveness. The table below presents the comparative data provided. An "acceptance criterion" column is added, reflecting the predicate's performance, and the "reported device performance" reflects the ForU KV10HB.

    Feature / Performance MetricAcceptance Criterion (CWD01 K062888)Reported Device Performance (ForU KV10HB)
    Intended UseMedical purposes to provide mobility to persons restricted to a sitting position.Motor driven, indoor and outdoor transportation vehicles with the intended use to provide mobility to disabled or elderly persons limited to a seated position.
    Maximum Loading136 kg (300 lbs)165 kg (350 lbs)
    Overall Height1130 mm (44.5")1140 mm (44.9")
    Overall Length900 mm (35.4")1032 mm (40.6")
    Overall Width650 mm (25.6")644 mm (25.4")
    Motor Output260W x DC24V × 2PcsDC 24V, 200 W, 2 Pcs
    ControllerDynamic SharkPG VR2
    BatteryLead-Acid 12V × 35AH × 2PCsGel/Seal Lead-Acid 12V × 50AH × 2PCs
    ChargerDC 24V 5A, off-boardDC 24V 5 AMP (Automatic Type) on-board
    Front/Rear Wheel6" pneumatic tire × 2 PCs6" Solid tire × 2 PCs
    Middle Wheel10" PU foaming tire × 2 PCs12.8" Solid tire × 2 PCs
    ArmrestRemovableFixed
    Break systemIntelligent regenerative electromagnetic brakeBraking distance
    Forward: 0.9 m (35.4") at max speed
    Net Weight (w/ batteries)83.5kg (183.7 lbs)98 kg (215.6 lbs)
    Slope Grade Ability12 degree10 degree
    Per-charge Distance40 km (24 miles)Up to 37 km (23.1 miles)
    Maximum Speed5 km/h (3.2 mph)Up to 6.5 km/hr (4.1 mph), variable
    SuspensionCross braceFront/Rear: No, Middle: Yes
    HornYes(Not explicitly stated for ForU KV10HB in table, implying difference or absence)

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

    This document describes a regulatory comparison for substantial equivalence, not a clinical trial or performance study with a "test set" of individuals or a defined dataset. The "data provenance" is the manufacturer's self-reported specifications for their device (ForU KV10HB) and specifications for the predicate device (CWD01) as understood from its 510(k) submission. Both devices are manufactured in Taiwan, suggesting the data originates from Taiwan. It is a comparison of device specifications, not retrospective or prospective patient data.

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

    Applicable to clinical studies, not product specification comparisons. No experts were explicitly mentioned as establishing "ground truth" for the comparative data presented. The "ground truth" here is the published specifications of the predicate device and the manufacturer's own specifications for their new device.

    4. Adjudication Method for the Test Set

    Not applicable. There was no "test set" in the sense of clinical cases or data requiring adjudication. The comparison is based on published and self-declared device specifications.

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

    No. This is a 510(k) submission for a physical medical device (powered wheelchair), not an AI or imaging device that would typically undergo an MRMC study.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    Not applicable. This is not an algorithm or AI device. The submission focuses on the physical and functional aspects of a powered wheelchair.

    7. The Type of Ground Truth Used

    The "ground truth" for this submission are the published design specifications and performance characteristics of the predicate device (CWD01) and the newly submitted device (ForU KV10HB). This includes physical dimensions, motor specifications, battery type, speed, range, and weight.

    8. The Sample Size for the Training Set

    Not applicable. There is no "training set" in the context of this 510(k) submission for a physical medical device. This is not a machine learning or AI algorithm.

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

    Not applicable for the same reasons as point 8.

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