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510(k) Data Aggregation

    K Number
    K202379
    Date Cleared
    2021-03-19

    (211 days)

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

    Invacare AVIVA Storm RX Power Chair

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

    The Invacare AVIVA Storm RX Power Wheelchair is indicated to provide mobility and positioning to persons limited to a sitting position.

    Device Description

    The subject device is a rearward drive wheel version substantially equivalent to the previously cleared forward drive wheel Invacare® AVIVA FX Power Wheelchair (K192216) with LiNX Electronics and Ultra Low Maxx Seating System. The subject device version consists of the following changes:

    • . Rearward drive wheel placement
    • . Modification to suspension system
    • . Modification to battery box design and seat interface brackets
    • Minor changes to mechanical components such as new rims and colors .
      The Invacare® AVIVA Storm RX Power Wheelchair is a 24V DC system, motor-driven wheelchair, utilizing the predicate device LiNX® control system. The subject device consists of a rigid or "non-folding" type power wheelchair base with rearward drive wheel placement with two (2) casters in the front and two anti-tippers in the rear. It is powered by two 12-volt DC batteries and two 4-pole single stage drive motors.
    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a powered wheelchair, the Invacare AVIVA Storm RX Power Wheelchair. It focuses on demonstrating substantial equivalence to a predicate device (Invacare AVIVA FX Power Wheelchair) through non-clinical testing against various international standards.

    Here's an analysis of the acceptance criteria and study information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally established by compliance with a comprehensive set of international (ISO), American National Standards Institute (ANSI), and European (EN) standards. The reported device performance is that the "subject device components met the performance requirements."

    Acceptance Criteria (Test Standard)Reported Device Performance
    ISO 7176-1:2014: Wheelchairs Part 1: Determination of Static StabilitySubject device met performance requirements.
    ISO 7176-2:2017: Wheelchairs Part 2: Determination of Dynamic Stability of Electrically Powered WheelchairsSubject device met performance requirements.
    ISO 7176-3:2012: Wheelchairs Part 3: Determination of Effectiveness of BrakesSubject device met performance requirements.
    ISO 7176-4:2008: Wheelchairs Part 4: Energy Consumption of Electrical Wheelchairs and Scooters for Determination of Theoretical Distance RangeSubject device met performance requirements.
    ISO 7176-5:2008: Wheelchairs Part 5: Determination of Dimensions, Mass and Maneuvering SpaceSubject device met performance requirements.
    ISO 7176-6:2018: Wheelchairs Part 6: Determination of Maximum Speed, Acceleration and Deceleration of Electric WheelchairsSubject device met performance requirements.
    ISO 7176-7:1998: Wheelchairs Part 7: Measurement of Seating and Wheel DimensionsSubject device met performance requirements.
    ISO 7176-8:2014: Wheelchairs Part 8: Requirements and Test Methods for Static, Impact and Fatigue StrengthsSubject device met performance requirements.
    ISO 7176-9:2009: Wheelchairs Part 9: Climatic Tests for Electric WheelchairsSubject device met performance requirements.
    ISO 7176-10:2008: Wheelchairs Part 10: Determination of Obstacle Climbing Ability of Electrically Powered WheelchairsSubject device met performance requirements.
    ISO 7176-11:2012: Wheelchairs Part 11: Test DummiesSubject device met performance requirements.
    ISO 7176-13:1989: Wheelchairs Part 13: Determination of Coefficient of Friction of Test SurfaceSubject device met performance requirements.
    ISO 7176-14:2008: Wheelchairs Part 14: Power and Control Systems for Electrically Powered Wheelchairs and Scooters – Requirements and Test MethodsSubject device met performance requirements.
    ISO 7176-15:1996: Wheelchairs Part 15: Requirements for Information Disclosure, Documentation and LabelingSubject device met performance requirements.
    ISO 7176-16:2012: Wheelchairs Part 16: Resistance to Ignition of Postural Support DevicesSubject device met performance requirements.
    ISO 7176-19: Wheelchairs Part 19: Wheeled Mobility Devices for use as Seats in Motor VehiclesSubject device met performance requirements.
    ISO 7176-21:2008: Wheelchairs Part 21: Requirements and test methods for electromagnetic compatibility of electrically powered wheelchairs and scooters, and battery chargersSubject device met performance requirements.
    ISO 7176-22:2014: Wheelchairs Part 22: Set-up ProceduresSubject device met performance requirements.
    ISO 7176-25:2013: Wheelchairs Part 25: Batteries and chargers for powered wheelchairsSubject device met performance requirements.
    IEC 62304:2006: Medical Device Software – Software Life CycleSubject device met performance requirements.
    ANSI C63.27:2017: American National Standard for Evaluation of Wireless CoexistenceSubject device met performance requirements.
    Other tests mentioned (Flammability, Ignitability of Upholstered Furniture)"Subject device components and features are the same or substantially equivalent to the predicate device."

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

    The document does not specify a "test set" in terms of a patient cohort or a specific number of devices tested individually. Instead, it refers to "non-clinical test reports" and "design verification test reports" that support the finding of substantial equivalence. The testing is based on compliance with established international standards for wheelchairs. Therefore:

    • Sample size: Not explicitly stated as a numerical sample of devices or patients. The assumption is that sufficiently representative samples were used to conduct the required tests under each standard.
    • Data provenance: Not explicitly stated, as the focus is on compliance with standards rather than clinical data from a specific geographical region or retrospective/prospective study. The testing is implied to be laboratory-based non-clinical testing.

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

    This document does not describe the use of human experts to establish "ground truth" for a performance test set. The evaluation is based on objective, standardized non-clinical engineering and performance tests carried out by the manufacturer to demonstrate compliance with recognized standards.

    4. Adjudication Method

    There is no mention of an adjudication method as the evaluation relies on compliance with technical standards and objective measurements, not subjective expert reviews.

    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 typically performed for AI or diagnostic devices where human reader performance is a key metric. This submission is for a physical medical device (power wheelchair) where performance is evaluated against engineering standards.

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

    This question is not applicable. The device is a power wheelchair, not an algorithm, and its performance is evaluated against engineering and safety standards, not an algorithm's diagnostic output.

    7. The Type of Ground Truth Used

    The "ground truth" in this context is implicitly defined by the pass/fail criteria of the various international and national standards (ISO, IEC, ANSI) listed in the document. These standards define objective performance thresholds and test methods for aspects like stability, braking, speed, safety, and electromagnetic compatibility.

    8. The Sample Size for the Training Set

    This question is not applicable. There is no mention of a "training set" as this is a physical medical device, not a machine learning algorithm.

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

    This question is not applicable.

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