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510(k) Data Aggregation

    K Number
    K230964
    Date Cleared
    2023-12-13

    (252 days)

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

    Power Wheelchair (N5909)

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

    The Power Wheelchair (N5909) is a motor driven, indoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

    Device Description

    This Power wheelchair, N5909, is a motor driven, indoor transportation vehicle, which a device for assisting action handicapped people and disabled people to move. It is suitable for disabled people with mobility difficulties. The device consists of front wheel, drive wheel, frame, controller, motor, armrest, push-handle, backrest, seat cushion, footrest, battery box and charger.

    AI/ML Overview

    The provided text describes the regulatory clearance of a Power Wheelchair (N5909) and establishes its substantial equivalence to a predicate device (K220747). The acceptance criteria are based on various performance standards and safety evaluations, with the study demonstrating compliance through non-clinical testing.

    Here's the breakdown of the information requested:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally established by compliance with a comprehensive set of ISO and IEC standards for wheelchairs. The reported device performance is demonstrated by the successful completion of tests adhering to these standards, ensuring the subject device meets or exceeds the specifications of the predicate device for relevant attributes.

    Acceptance Criteria (Standard & Performance Aspect)Reported Device Performance (Compliance/Value)
    Stability (Static) (ISO 7176-1:2014)Complies with ISO 7176-1:2014
    Stability (Dynamic) (ISO 7176-2:2017)Complies with ISO 7176-2:2017
    Brake Effectiveness (ISO 7176-3:2012)Complies with ISO 7176-3:2012
    - Braking distance≤1.5 m (Same as Predicate)
    Energy Consumption/Range (ISO 7176-4:2008)Complies with ISO 7176-4:2008
    - Maximum distance of travel10 km (Predicate: 20 km; noted as not raising new safety concerns)
    Dimensions, Mass, Maneuvering Space (ISO 7176-5:2008)Complies with ISO 7176-5:2008
    - Turning Radius900 mm (Same as Predicate)
    - Overall Dimension (LWH)900mmX580mmX860mm (Minor difference from Predicate, validated with max rated weight dummy)
    - Stowage Dimension (LWH)900mmX250mmX860mm (Different from Predicate)
    Speed (Max, Accel, Decel) (ISO 7176-6:2018)Complies with ISO 7176-6:2018
    - Max speed forwardUp to 6 km/h (1.68 m/s), adjustable (Minor difference from Predicate: 1.6 m/s)
    - Max Speed backward0.71 m/s (2.556 km/h) (Minor difference from Predicate: 0.5 m/s)
    Seating/Wheel Dimensions (ISO 7176-7:1998)Complies with ISO 7176-7:1998
    - Front wheel size/type7" x 1.5"/PU Solid tire (Same as Predicate)
    - Rear wheel size/type8.5"x 1.8"/ PU Solid tire (Same as Predicate)
    Static, Impact, Fatigue Strength (ISO 7176-8:2014)Complies with ISO 7176-8:2014
    - Maximum obstacle climbing40 mm (Same as Predicate)
    - Maximum safe operational incline degree9 ° (Same as Predicate)
    - Max loading weight110kg (~250lbs) (Different from Predicate: ~300lbs; noted as not causing different performance due to lower pressure)
    Climatic Tests (ISO 7176-9:2009)Complies with ISO 7176-9:2009
    Obstacle-climbing ability (ISO 7176-10:2008)Complies with ISO 7176-10:2008
    Test Dummies (ISO 7176-11:2012)Complies with ISO 7176-11:2012
    Coefficient of Friction (ISO 7176-13:1989)Complies with ISO 7176-13:1989
    Power and Control Systems (ISO 7176-14:2008)Complies with ISO 7176-14:2008
    Information Disclosure/Labeling (ISO 7176-15:1996)Complies with ISO 7176-15:1996
    Resistance to Ignition (Seating) (ISO 16840-10:2021)Complies with ISO 16840-10:2021 (Predicate met ISO 7176-16)
    EM Compatibility (ISO 7176-21:2009)Complies with ISO 7176-21:2009
    Set-up Procedures (ISO 7176-22:2014)Complies with ISO 7176-22:2014
    Batteries and Chargers (ISO 7176-25:2013)Complies with ISO 7176-25:2013
    - Battery typeLi-ion battery pack; 24 VDC 10Ah (Predicate: *2pcs; capacity difference not a safety concern)
    - Battery chargerOff-board charger (Same as Predicate)
    Electromagnetic Compatibility (IEC 60601-1-2:2014)Complies with IEC 60601-1-2:2014
    Biocompatibility (Cytotoxicity) (ISO 10993-5:2009)Complies with ISO 10993-5:2009
    Biocompatibility (Sensitization/Irritation) (ISO 10993-10:2010)Complies with ISO 10993-10:2010
    Risk AnalysisDeveloped in accordance with ISO 14971:2019
    Software ValidationCompleted (For control system)

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

    The document does not explicitly state the sample size for the test set used for the performance testing. The provenance of the data is non-clinical bench testing, conducted according to various international standards (ISO, IEC). The location of the testing is not specified, but the manufacturer is based in China. The testing is implicitly prospective in the sense that the new device was subjected to these tests to demonstrate compliance.

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

    This information is not applicable. The "ground truth" for a power wheelchair's performance is established by objective engineering measurements against defined international standards (ISO, IEC). It does not involve expert interpretation or clinical judgment in the same way an AI diagnostic device would require.

    4. Adjudication method for the test set

    This information is not applicable. Adjudication methods like 2+1 or 3+1 are typically used in clinical studies where expert consensus is needed to establish a "ground truth" for medical images or diagnoses. For a physical device like a power wheelchair, adherence to predefined measurement procedures and standards is the primary method of evaluation.

    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 MRMC comparative effectiveness study was done. This type of study is relevant for AI image analysis or diagnostic tools, not for the regulatory clearance of a physical medical device like a powered wheelchair.

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

    This information is not applicable. "Standalone" performance refers to AI algorithms operating without human intervention for diagnostic or analytical tasks. The device in question is a physical power wheelchair; its "performance" is its mechanical and electrical function, not an algorithm's output. Software validation was performed, but it's not "algorithm only" performance in the context of an AI diagnostic.

    7. The type of ground truth used

    The ground truth used is primarily objective engineering measurements and adherence to international performance standards (ISO, IEC). For example, braking distance is measured directly, not subject to expert consensus. Biocompatibility is determined by standardized laboratory tests.

    8. The sample size for the training set

    The concept of a "training set" is not applicable here because this is not an AI/machine learning device that requires a training phase.

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

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

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