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510(k) Data Aggregation

    K Number
    K241603
    Date Cleared
    2024-11-20

    (169 days)

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

    The device is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

    Device Description

    The subject device, Powered Wheelchair, mainly powered by battery, motivated by DC motor, driven by user controlling joystick and adjusting speed. The Powered Wheelchairs consist of two foldable armrests, a backrest, a seat cushion, a safety belt, a foldable frame, two rear driving wheels with hub motor/electromagnetic brake assemblies, two pivoting casters, two Li-ion batteries, an off-board battery charger, a control panel, and an electric motor controller.

    The NXN20-208 and NXN20-211 Powered Wheelchair is intended to provide mobility to a disabled or elderly person limited to a seated position.

    The Powered Wheelchair has 7 inch front wheel and 11 inch rear tire.

    The motor of electric wheelchair is DC24V 200W; the battery is 24V 12AH, Li-ion battery; the charger is 24V/3A.

    Max. loading can not be over than 110Kgs.

    Max. distance of travel on the fully charged battery is 16 km and Max. speed forward is 6km/h.

    The braking time is about 2s, and the braking distance is <=1.77m.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for a Powered Wheelchair (models NXN20-208, NXN20-211). It focuses on demonstrating substantial equivalence to a predicate device (A08 Power Wheelchair, K163204) rather than presenting a study to prove acceptance criteria for a novel device. Therefore, much of the requested information regarding clinical studies, ground truth establishment, expert adjudication, and AI performance is not applicable to this submission.

    However, the document does contain "acceptance criteria" through a demonstration of compliance with recognized standards and a comparison of performance characteristics to a predicate device, which serves as a benchmark for safety and effectiveness in this regulatory context.

    Here's a breakdown of the available information:

    1. Table of Acceptance Criteria (Standard Compliance) and Reported Device Performance

    For a medical device like a powered wheelchair, acceptance criteria are generally defined by compliance with a set of established performance standards. The "reported device performance" is demonstrated by the completion of non-clinical tests verifying compliance with these standards.

    Acceptance Criteria (Standard)Reported Device Performance (Compliance Status)
    ISO 7176-1:2014 Wheelchairs - Part 1: Determination of static stabilityComplies
    ISO 7176-2:2017 Wheelchairs - Part 2: Determination of dynamic stability of electrically powered wheelchairsComplies
    ISO 7176-3:2012 Wheelchairs - Part 3: Determination of effectiveness of brakesComplies
    ISO 7176-4:2008 Wheelchairs - Part 4: Energy consumption of electric wheelchairs and scooters for determination of theoretical distance rangeComplies
    ISO 7176-5:2008 Wheelchairs - Part 5: Determination of overall dimensions, mass and manoeuvring spaceComplies
    ISO 7176-6:2018 Wheelchairs - Part 6: Determination of maximum speed, acceleration and deceleration of electric wheelchairsComplies
    ISO 7176-7:1998 Wheelchairs - Part 7: Measurement of seating and wheel dimensionsComplies
    ISO 7176-8:2014 Wheelchairs - Part 8: Requirements and test methods for static, impact and fatique strengthsComplies
    ISO 7176-9:2009 Wheelchairs - Part 9: Climatic tests for electric wheelchairsComplies
    ISO 7176-10:2008 Wheelchairs - Part 10: Determination of obstacle-climbing ability of electrically powered wheelchairsComplies
    ISO 7176-11:2012 Wheelchairs - Part 11: Test dummiesComplies
    ISO 7176-13:1989 Wheelchairs - Part 13: Determination of coefficient of friction of test surfacesComplies
    ISO 7176-14:2008 Wheelchairs - Part 14: Power and control systems for electrically powered wheelchairs and scooters - Requirements and test methodsComplies
    ISO 7176-15:1996 Wheelchairs - Part 15: Requirements for information disclosure, documentation and labelingComplies
    ISO 7176-21:2009 Wheelchairs - Part 21: Requirements and test methods for electromagnetic compatibility of electrically powered wheelchairs and scooters, and battery chargersComplies
    ISO 7176-22:2014 Wheelchairs - Part 22: Set-up proceduresComplies
    ISO 7176-25:2013 Wheelchairs - Part 25: Batteries and chargers for powered wheelchairsComplies
    ISO 16840-10:2021 Wheelchair seating - Part 10: Resistance to ignition of postural support devices - Requirements and test methodComplies
    IEC 60601-1-2:2020 Medical electrical equipment - Part 1-2: General requirements for safety - Collateral standard: Electromagnetic compatibility - Requirements and testsComplies
    Software Verification and Validation Testing (according to FDA Guidance)Complies
    Biocompatibility of materials contacting user (Comply with FDA Guidance)Complies

    Performance Characteristics (Comparison with Predicate Device):

    ItemProposed DevicePredicate DeviceAcceptance (Remark)
    Overall lengthNXN20-208: 1000mm; NXN20-211: 950mm890 mmMinor differences will not impact safety and effectiveness.
    Overall width600mm603 mmMinor differences will not impact safety and effectiveness.
    Stowage length340mm324 mmMinor differences will not impact safety and effectiveness.
    Stowage width600mm603 mmMinor differences will not impact safety and effectiveness.
    Stowage heightNXN20-208: 775mm; NXN20-211: 765mm670 mmMinor differences will not impact safety and effectiveness.
    Weight, w/ BatteryNXN20-208: 42.99 lbs./19.5kg; NXN20-211: 36.48 lbs./16.55kg61.7 lbs. /28 kgThe difference will not raise any new safety and effectiveness concerns.
    Front wheel (inch)7 (PU solid tire)8 (PU solid tire)Smaller sizes of front wheels.
    Rear tire (inch)11 (PU solid tire)10 (PU solid tire)Larger sizes of rear wheels bring steadier pivoting function than the predicate device.
    Cruising Range (km)1620The subject device complies with ISO 7176-4:2008 for energy consumption; these differences do not affect safety and effectiveness.
    Obstacle climbing (mm)2540The smaller height in the obstacle climbing will not impact the safety and effectiveness of the subject device.
    Static stability forward18.8°Not publicly availableBoth devices evaluated per ISO 7176-1:2014; different static stability will not impact safety and effectiveness.
    Static stability rearward20.4°Not publicly availableBoth devices evaluated per ISO 7176-1:2014; different static stability will not impact safety and effectiveness.
    Static stability sideways20.5°Not publicly availableBoth devices evaluated per ISO 7176-1:2014; different static stability will not impact safety and effectiveness.
    Max. loading (kg)242.5lbs (110kg)220 lbs (100 kg)More loading weight means more convenient for transportation.
    Min. Turning radiumNXN20-208: 850mm; NXN20-211: 840mm800mmSimilar
    Minimum braking distance<=1.77m1mSimilar
    Max Speed Forwards1.66 m/s (6 km/h)1.94 m/s (7 km/h)Devices evaluated per ISO 7176-6:2018; the difference will not impact safety and effectiveness.
    Max. Speed Backward0.8 m/s (2.88 km/h)Not publicly availableDevices evaluated per ISO 7176-6:2018; the difference will not impact safety and effectiveness.
    ControllerYanteon Mechanical & Electronic Technology (Shanghai) Co. Ltd. Joystick Y2450M Controller Y2430MYisheng Electric Co. Ltd. WS-1, 40AAlthough different controllers are used, both control systems are similar and evaluated according to ISO 7176-14:2008 and software validation requirements; no new safety and effectiveness concerns.

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

    • Sample Size for Test Set: Not explicitly stated as this is a device clearance based on standard compliance and comparison, not an image-based AI study with a "test set" in that context. The tests were performed on the physical device models NXN20-208 and NXN20-211.
    • Data Provenance: The document states "Non clinical tests were conducted to verify that the proposed device met all design specifications." These tests would have been conducted by the manufacturer (Zhejiang Nysin Medical Co., Ltd.) in China or by a contracted testing facility. The specific location and retrospective/prospective nature of the individual test data are not detailed, but it is implied to be new test data generated for this submission.

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

    • Number of Experts: Not applicable. For a powered wheelchair, "ground truth" is typically established through objective measurements and testing against engineering and safety standards, rather than expert consensus on medical images or patient diagnoses.
    • Qualifications of Experts: Not applicable for the reasons above. Testing would be performed by qualified engineers and technicians.

    4. Adjudication method for the test set

    • Adjudication Method: Not applicable. The "test set" here refers to physical device testing against established standards, not a diagnostic task requiring expert adjudication.

    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

    • MRMC Study: No, this is not an AI-based diagnostic device. It is a powered wheelchair. Therefore, no MRMC study was conducted, and this question is not applicable.

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

    • Standalone Performance: Not applicable. This is not an AI algorithm.

    7. The type of ground truth used

    • Type of Ground Truth: The "ground truth" for this device is based on objective, quantifiable measurements against internationally recognized performance and safety standards (e.g., ISO 7176 series, IEC 60601-1-2) and visual inspections of the device. For biocompatibility, it's compliance with FDA guidance and ISO 10993-1.

    8. The sample size for the training set

    • Sample Size for Training Set: Not applicable. This is not a machine learning or AI device that requires a training set.

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

    • Ground Truth for Training Set: Not applicable. There is no training set for this device.
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