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510(k) Data Aggregation

    K Number
    K181163
    Date Cleared
    2019-02-16

    (291 days)

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

    Wu's Powered Wheelchair

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

    The device is intended for medical purposes to provide mobility to persons restricted to a sitting position.

    Device Description

    The Wu's Powered Wheelchair, Mambo 30, is an indoor-use electric wheelchair that is battery operated. It has a base with six-wheeled with a seat and armrest. The movement of the wheelchair is controlled by the rider who uses joystick, located at the right-side armrest, to control the direction and speed of the wheelchair. The device is provided with an off-board battery charger. The maximum weight capacity of Mambo 30 is 300 lbs. (136 kg), and its maximum speed is 4 mph (6.4 km/h).

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a powered wheelchair, the Wu's Powered Wheelchair, Mambo 30. The document focuses on demonstrating substantial equivalence to a predicate device, the Wu's Powered Wheelchair, Mambo 36, primarily through performance testing against recognized 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 document implicitly uses international and domestic standards as acceptance criteria for various aspects of the powered wheelchair. The reported device performance is indicated by its compliance with these standards.

    Acceptance Critieria (Standard)Reported Device Performance (Compliance/Result)
    ISO 7176-1:2014 Wheelchairs - Part 1: Determination of static stabilityPassed
    ISO 7176-2:2001 Wheelchairs - Part 2: Determination of dynamic stability of electric wheelchairsPassed
    ISO 7176-3:2012 Wheelchairs - Part 3: Determination of effectiveness of brakesPassed
    ISO 7176-4:2008 Wheelchairs - Part 4: Energy consumption of electric wheelchairs for determination of theoretical distance rangePassed
    ISO 7176-5:2008 Wheelchairs - Part 5: Determination of overall dimensions, mass and maneuvering spacePassed
    ISO 7176-6:2001 Wheelchairs - Part 6: Determination of maximum speed, acceleration and deceleration of electric wheelchairsPassed
    ISO 7176-7:1998 Wheelchairs - Part 7: Determination of seating dimensions -Definitions and measuring methodPassed
    ISO 7176-8:2014 Wheelchairs - Part 8: Static, impact and fatigue strength for manual wheelchairsPassed
    ISO 7176-9:2009 Wheelchairs Part 9: Climatic tests for electric wheelchairsPassed
    ISO 7176-10:2008 Wheelchairs - Part 10: Determination of obstacle-climbing ability of electrically powered wheelchairsPassed
    ISO 7176-11:2014 Wheelchairs -- Part 11 Test dummiesStandard utilized in testing
    ISO 7176-13: 1989 Wheelchair - Part 13: Determination of coefficient of friction of test surfacesPassed
    ISO 7176-15: 1996 Wheelchairs -- Part 15: Requirements for information disclosure, documentation and labellingPassed
    ISO 7176-16:2012 Wheelchairs - Part 16: Resistance to ignition of postural support devicesPassed
    ISO 7176-21:2009 Requirements and test methods for electromagnetic compatibility of electrically powered wheelchairs and scooters, and battery chargersPassed
    ISO 7176-25:2013 Wheelchairs -- Part 25: Batteries and chargers for powered wheelchairsBatteries passed testing; Charger passed testing
    ANSI/RESNA WC-2:2009 Section 14: Power and control systems for electrically powered wheelchairs-- Requirements and test methods.Electronic controller passed testing
    ANSI/RESNA WC-2:2009 Section 21: Requirements and test methods for electromagnetic compatibility of electrically powered wheelchairs and motorized scooters.Passed
    ISO 10993-1, Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management processBiocompatibility Assessment performed for patient-contacting parts (Headrest/Seatback/Seat/Safety seat belt, Armrest, Horn button, Speed dial, REM060/110 bottom case, REM050/100 (Full joystick control module)). Specific tests (Cytotoxicity, Maximization Sensitization, Skin Irritation, Irritation & delayed-type hypersensitivity (Epicutan test)) conducted as listed.

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

    The document describes performance testing based on ISO and ANSI/RESNA standards for powered wheelchairs. These standards typically involve testing a single device or a small representative sample of the manufactured device to ensure it meets the specified engineering and safety requirements. The document does not specify a numerical sample size beyond implying testing of "the device" (singular) or its components.

    The data provenance is from non-clinical tests conducted by the manufacturer, Wu's Tech Co., Ltd., based in Taiwan, R.O.C. The data is prospective in the sense that the device was actively tested against the standards to demonstrate compliance for regulatory submission.

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

    This type of submission (510(k) for a powered wheelchair) does not typically involve human expert consensus for "ground truth" in the way a diagnostic AI device would. The "ground truth" here is objective compliance with established engineering and safety standards. The experts involved would be the engineers and technicians conducting the tests in accordance with the specified ISO and ANSI/RESNA standards, as well as the regulatory reviewers at the FDA who assess the submitted test reports. Their qualifications are implicitly that they are competent in performing and interpreting these engineering tests. The document does not specify the number or specific qualifications of these individuals but relies on the adherence to recognized standards.

    4. Adjudication method for the test set:

    Not applicable in the context of this device and testing. Adjudication methods like 2+1 or 3+1 are used in studies involving human interpretation or subjective assessments, often for diagnostic accuracy, which is not the nature of these engineering performance tests. The "adjudication" is essentially the successful completion and documentation of tests aligned with the specified standards.

    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. This is a powered wheelchair, not a diagnostic imaging device utilizing AI. Therefore, an MRMC comparative effectiveness study involving human readers and AI assistance is not relevant or reported.

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

    No. This is a physical medical device. "Standalone performance" in the context of an algorithm is not applicable here. The device's performance is inherently tied to its physical interaction with users and the environment, albeit controlled by electronic systems.

    7. The type of ground truth used:

    The ground truth used is compliance with established international and national performance and safety standards (ISO 7176 series and ANSI/RESNA WC-2 series), and biocompatibility testing standards (ISO 10993-1). This is an objective, measurable ground truth for engineering and material safety.

    8. The sample size for the training set:

    Not applicable. This device does not involve a "training set" in the context of machine learning or AI. Its design and performance are based on engineering principles and compliance with fixed standards, not on learning from a dataset.

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

    Not applicable. See point 8.

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    K Number
    K070655
    Date Cleared
    2007-04-02

    (24 days)

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

    WU'S POWERED WHEELCHAIR, MAMBO 36

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

    The device is intended for medical purposes to provide mobility to persons restricted to a seated position.

    Device Description

    The WU'S Powered Wheelchair MAMBO 36 is an indoor / outdoor electric scooter that is battery operated. It has a base with four-wheeled with a seat, armrests, and a front basket. The movement of the scooter is controlled by the rider who uses hand controls located at the top of the steering column. The device can be disassembled for transport and is provided with an onboard battery charger.

    AI/ML Overview

    This is a 510(k) premarket notification for a Powered Wheelchair, which is a Class II medical device. The information provided describes the performance testing and comparison to a predicate device, as opposed to a study on software or AI performance. Therefore, many of the requested categories (such as sample size for test/training sets, expert qualifications, adjudication methods, MRMC studies, and standalone algorithm performance) are not applicable to this type of submission.

    Here's an analysis of the provided text in the context of your request:

    1. Table of acceptance criteria and reported device performance:

    Acceptance Criteria / Test MethodReported Device Performance (Mambo 36)
    EMC Report ANSI / RESNA WC/Vol.2-1998, CISPR 11: 1990, EN61000-3-2: 1995, IEC61000-3-3: 1995 (Electrically powered wheelchairs, scooters, and their chargers - requirements and test methods)The device "passed" these tests. Specifically, the electronic systems use "the same suppliers" as the predicate device and "all passed by the UL certificated," assuring the "same safety level."
    Strength and fatigue tests (for mainframes)Mainframes of the two devices (Mambo 36 and Mambo 36X) "all meet the strength and fatigue tests".
    Resistance ignition test (for back upholstery materials)Back upholstery materials are the "same fabric and passed the resistance ignition test."
    Cruising range per charge20-30 miles (Improved compared to 10-15 miles for predicate device)
    Incline angle8 degrees (Improved compared to 5 degrees for predicate device)
    Weight capabilities130 kgs (Same as predicate device)
    Maximum speed6.4 km/hr (Same as predicate device)

    Notes on "Acceptance Criteria" and "Reported Performance":
    For a physical device like a powered wheelchair, the "acceptance criteria" are generally established by the referenced standards (e.g., ANSI/RESNA WC/Vol.2-1998 for performance, CISPR 11 for EMC). The document states that the new device passed these tests or met the requirements, which implies it met the acceptance criteria implicitly defined by those standards.

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

    • Sample Size: Not applicable. This submission is for a physical device and references performance testing against established standards for a single device, not a data-driven study with a test set.
    • Data Provenance: Not applicable. The testing appears to be physical testing of the device itself, likely performed in Taiwan where the manufacturer is located.

    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):

    • Not applicable. Ground truth as typically understood in AI/software validation (e.g., expert consensus on medical images) is not relevant for the performance testing of a powered wheelchair. The "ground truth" for a wheelchair's performance is adherence to engineering and safety standards.

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

    • Not applicable. No expert adjudication method is mentioned or relevant for this type of device submission.

    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 submission for a physical medical device, not an AI or software assistant designed to improve human reader performance.

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

    • Not applicable. This is a physical device, not an algorithm.

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

    • Not applicable in the typical sense. The "ground truth" for this device's performance is compliance with established international and national standards for wheelchair safety and performance (e.g., ANSI/RESNA, CISPR, EN, IEC standards). This is determined through physical testing and measurement.

    8. The sample size for the training set:

    • Not applicable. This is not a machine learning model, so there is no "training set."

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

    • Not applicable. There is no training set mentioned.
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    K Number
    K052559
    Date Cleared
    2005-09-26

    (10 days)

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

    WU'S POWERED WHEELCHAIR, MAMBO 2

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

    The device is intended for medical purposes to provide mobility to persons restricted to a seated position.

    Device Description

    The WU'S Powered Wheelchair MAMBO 2 is an indoor / outdoor electric scooter that is battery operated. It has a base with four-wheeled with a seat, armrests, and a front basket. The movement of the scooter is controlled by the rider who uses hand controls located at the top of the steering column. The device can be disassembled for transport and is provided with an onboard battery charger.

    AI/ML Overview

    This 510(k) submission (K052559) for the WU'S POWERED WHEELCHAIR, MAMBO 2, is a premarket notification where substantial equivalence to a predicate device is claimed. As such, the concept of "acceptance criteria" and a "study that proves the device meets the acceptance criteria" in the context of performance metrics (like accuracy, sensitivity, specificity, etc.) for AI/imaging devices is not directly applicable here.

    Instead, the acceptance criteria are generally related to demonstrating that the new device is as safe and effective as a legally marketed predicate device. This is primarily achieved through comparing technical characteristics, materials, and compliance with recognized standards.

    Here's a breakdown of the requested information based on the provided text, adapted to the context of a medical device submission focused on substantial equivalence:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Demonstrated Equivalence to Predicate)Reported Device Performance (MAMBO 2)
    Intended Use: Device provides mobility to persons restricted to a seated position.The device is intended for medical purposes to provide mobility to persons restricted to a seated position.
    Material Strength and Fatigue: Mainframes meet strength and fatigue tests.Mainframes materials meet the strength and fatigue tests.
    Overall Dimensions: Similar to predicate.Overall dimensions are similar. (Minor differences exist, but not affecting safety).
    Armrest Type: Same as predicate.Used the same type of armrest.
    Weight Limit: Same as predicate.Same weight limit.
    Back Upholstery Material: Same fabric as predicate.Back upholstery material is also the same fabric.
    Critical Electrical Components Certification (Recharger, Batteries): Certified by UL.Recharger, batteries, and other critical electrical components are certified by UL.
    Safety Aspects (Operator Safety): Substantially equivalent.For the operator's safety aspect they are substantially equivalent.
    Braking Time, Distance, Dynamic Stability: Meets relevant requirements (supported by lower maximum speed).Lower speed (3.5 mph for new device vs. 4.0 mph for predicate) means the new device shall more easily to meet the relevant requirements for the braking time, distance, and dynamic stability for safety considerations.
    Control System Safety and Performance: Assured and validated, substantially equivalent.Control systems (Penny & Giles for new; Dynamic DL for predicate) are all FDA-clearance. The safety and performance functions of two systems are assured and validated. They are substantially equivalent.
    Cruising Range (Real-life use): Substantially equivalent despite numerical difference.Maximum range per charge is 16 km for the new device, and 40 km for the predicate device. For the real life use, the two devices are substantially equivalent. (Acknowledges environmental factors influence real range).
    Agility and Foldability: New device "more agile and easy to fold for storage or transportation." (Not a direct "criterion" but a key differentiating feature that does not negatively impact safety/effectiveness).The major difference existing for new device is more agile and easy to fold for storage or transportation.

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

    This submission does not describe a "test set" in the context of clinical data for performance evaluation as would be seen for an AI/imaging device. The assessment is based on a comparison of device specifications, materials, and compliance with recognized standards, primarily through engineering testing and documentation.

    • Sample Size: Not applicable in the conventional sense of a clinical test set. The "samples" are the devices themselves undergoing physical and electrical testing.
    • Data Provenance: The information is derived from internal design specifications, material certifications (e.g., UL), and engineering test results (such as EMC Report, ANSI / RESNA WC/Vol.2-1998, CISPR 11, EN61000-3-2, IEC61000-3-3). The manufacturer is WU'S TECH CO., LTD. located in Hsin Chu City, China (Taiwan). The testing is implied to be prospective engineering and material testing rather than retrospective clinical data analysis.

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

    Not applicable. This is not a study requiring expert consensus for a "ground truth" on clinical data. The "ground truth" here is the adherence to engineering standards and safety specifications, which is verified through standard testing procedures and certifications (e.g., UL).

    4. Adjudication Method for the Test Set

    Not applicable. There is no clinical test set requiring adjudication in this submission.

    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 relevant for evaluating the impact of AI on human reader performance, typically in diagnostic imaging. The Mambo 2 is a powered wheelchair, and its approval process does not involve such studies.

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

    Not applicable. This is not an algorithmic device.

    7. The Type of Ground Truth Used

    The "ground truth" in this context is established by:

    • Predicate Device Characteristics: The established safety and effectiveness of the legally marketed predicate device (WU'S POWERED WHEELCHAIR, MAMBO 3, K030707).
    • Engineering Standards: Compliance with recognized international and national standards for wheelchairs (e.g., ANSI / RESNA WC/Vol.2-1998, CISPR 11, EN61000-3-2, IEC61000-3-3 for electrical and mechanical safety, strength, fatigue, etc.).
    • Material Certifications: Certifications for components like batteries and chargers (e.g., UL certification).
    • Control System Clearances: The control systems used are FDA-cleared.

    8. The Sample Size for the Training Set

    Not applicable. This is not an AI/ML device that requires a training set.

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

    Not applicable. This is not an AI/ML device that requires a training set.

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    K Number
    K050011
    Date Cleared
    2005-02-11

    (39 days)

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

    WU'S POWERED WHEELCHAIR, MAMBO F 120

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

    The device is intended for medical purposes to provide mobility to persons restricted to a seated position.

    Device Description

    The WU'S Powered Wheelchair MAMBO F120 is an indoor / outdoor electric scooter that is battery operated. It has a base with four-wheeled with a seat, armrests, and a front basket. The movement of the scooter is controlled by the rider who uses hand controls located at the top of the steering column. The device can be disassembled for transport and is provided with an onboard battery charger.

    AI/ML Overview

    The provided text describes the 510(k) summary for the WU'S POWERED WHEELCHAIR, MAMBO F120. This documentation focuses on demonstrating substantial equivalence to a predicate device rather than detailing specific device performance against a set of acceptance criteria for a novel medical AI/ML device. Therefore, much of the requested information regarding AI/ML study design, sample sizes, ground truth establishment, expert adjudication, and MRMC studies is not applicable to this submission.

    However, I can extract the relevant performance testing information that was included to support the claim of substantial equivalence.

    1. A table of acceptance criteria and the reported device performance

    The document does not present acceptance criteria in a quantitative, pass/fail table format with specific thresholds. Instead, it refers to compliance with recognized standards. The "reported device performance" is essentially that the device "passed" these standards.

    Acceptance Criteria (Standard Compliance)Reported Device Performance (Compliance)
    EMC Report per CISPR 11: 1990Passed
    EMC Report per EN61000-3-2: 1995Passed
    EMC Report per IEC61000-3-3: 1995Passed
    Performance Testing per ANSI / RESNA WC/Vol.2-1998 (Electrically powered wheelchairs, scooters, and their chargers - requirements and test methods)Passed
    Electrical systems (controller, batteries, recharge) meeting UL certificationPassed (same suppliers, specifications)
    Strength and fatigue tests (mainframes materials)Met (similar to 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 applicable. The performance testing refers to engineering and electrical safety standards for the device itself, not a clinical study involving a test set of data.

    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)

    Not applicable. This is not an AI/ML device requiring expert-established ground truth.

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

    Not applicable.

    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.

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

    The device is a physical powered wheelchair, not an algorithm. Therefore, "standalone performance" in the context of an algorithm is not applicable. The performance tests assess the standalone physical and electrical characteristics of the wheelchair.

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

    For the physical and electrical safety performance testing, the "ground truth" is defined by the technical specifications and limits set forth in the referenced international and national standards (e.g., CISPR 11, EN61000-3-2, IEC61000-3-3, ANSI / RESNA WC/Vol.2-1998, UL certification). Compliance with these standards is considered the "ground truth" for the device's acceptable performance in these areas.

    8. The sample size for the training set

    Not applicable. This device does not involve a training set for an AI/ML algorithm.

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

    Not applicable.

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    K Number
    K050010
    Date Cleared
    2005-02-11

    (39 days)

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

    WU'S POWERED WHEELCHAIR, MAMBO 36X

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

    The device is intended for medical purposes to provide mobility to persons restricted to a seated position.

    Device Description

    The WU'S Powered Wheelchair MAMBO 36X is an indoor / outdoor electric scooter that is battery operated. It has a base with four-wheeled with a seat, armrests, and a front basket. The movement of the scooter is controlled by the rider who uses hand controls located at the top of the steering column. The device can be disassembled for transport and is provided with an onboard battery charger.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a powered wheelchair, the WU's POWERED WHEELCHAIR, MAMBO 36X. This document focuses on establishing substantial equivalence to a legally marketed predicate device, the TEH LIN JUPITER Powered Wheelchair TL-320 (K022697), rather than detailing acceptance criteria and performance data from a specific study designed to "prove the device meets acceptance criteria" in the way one might expect for a novel AI/software-as-a-medical-device (SaMD) product.

    Therefore, many of the requested categories (e.g., sample size for test set, number of experts, adjudication method, MRMC studies, ground truth details, training set size) are not applicable or cannot be extracted directly from this type of regulatory submission for a powered wheelchair.

    Here's an analysis based on the provided text, addressing the applicable points and explaining why others are not present:


    Acceptance Criteria and Study for WU's POWERED WHEELCHAIR, MAMBO 36X

    This 510(k) submission primarily focuses on demonstrating substantial equivalence to a predicate device, as opposed to a de novo approval or clinical trial for a novel device. Therefore, the "acceptance criteria" are largely based on meeting established standards and demonstrating similarity in safety and performance to the predicate device. The "study" referenced is the performance testing against these standards, which are not designed to measure metrics like sensitivity, specificity, or accuracy (which are common for AI/SaMD devices).

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategoryCriterionReported Device Performance/Comparison to Predicate
    Intended UseSame as predicate device.The intended use between the two devices is the same: "to provide mobility to persons restricted to a seated position."
    Design/StructureMainframes are foldable, similar materials, same suspension (cross brace).Mainframes of both devices are foldable. Mainframe materials "all meet the strength and fatigue tests and they are similar for the material aspects." The suspension of the cross brace is the same.
    ComponentsSame type of armrest, same back upholstery material, same electronic systems.The two devices used the same type of armrest. Back upholstery material is the same fabric. Electronic systems (controller, batteries, charger) are from the "same suppliers" and "all passed by the UL certificated."
    Safety (Electrical/Mechanical)Complies with relevant electrical safety and wheelchair performance standards.Demonstrated through compliance with:
    • EMC Report ANSI / RESNA WC/Vol.2-1998: Standard for electrically powered wheelchairs, scooters, and their chargers - requirements and test methods.
    • CISPR 11: 1990: Industrial, scientific and medical (ISM) radio-frequency equipment – Electromagnetic disturbance characteristics – Limits and methods of measurement.
    • EN61000-3-2: 1995: Limits for harmonic current emissions.
    • IEC61000-3-3: 1995: Limitation of voltage changes, voltage fluctuations and flicker in public low-voltage supply systems.
    • Electronic systems are UL certified. |
      | Minor Differences (Not impacting safety) | Differences in overall dimensions, seat size, weight limit, speed, range, incline. | The major differences existing are the overall dimension, the size of seat, weight limit, maximum speed, cruising range, and the incline degrees. The overall appearance differences are "not safety aspect" and do not affect substantial equivalence. |

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

    • Sample Size: Not applicable in the context of this 510(k) for a powered wheelchair. Performance testing refers to engineering and electrical safety standards applied to the device itself (e.g., a sample unit of the wheelchair), not a patient-based test set or data set in the manner of AI/SaMD.
    • Data Provenance: Not applicable. The "data" here are test results from engineering and electrical safety evaluations of the device's physical and electrical characteristics.

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

    • Not applicable. Ground truth, in the AI/SaMD context, refers to a definitively correct label or outcome for a medical condition. For a powered wheelchair, "ground truth" relates to compliance with engineering standards, which is assessed through standardized testing and certification by notified bodies (e.g., UL, and compliance to standards like ANSI/RESNA).

    4. Adjudication Method for the Test Set

    • Not applicable. This concept is relevant for reconciling discrepancies in expert opinions on medical data, which is not part of this type of device submission.

    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 powered wheelchair, not an AI-powered diagnostic or assistive tool for human readers (e.g., radiologists).

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

    • Not applicable. This device does not involve a standalone algorithm.

    7. The Type of Ground Truth Used (Expert Consensus, Pathology, Outcomes Data, etc.)

    • Not applicable in the typical medical imaging/AI sense. The "ground truth" for this device is based on established engineering and electrical safety standards (e.g., ANSI/RESNA, CISPR, EN, IEC) as assessed through physical and electrical performance tests. Successful passing of these tests serves as the "truth" that the device meets the safety and performance requirements.

    8. The Sample Size for the Training Set

    • Not applicable. This device does not employ machine learning or AI that requires a "training set."

    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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    K Number
    K030707
    Date Cleared
    2003-04-04

    (29 days)

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

    WU'S POWERED WHEELCHAIR, MAMBO 3

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

    The device is intended for medical purposes to provide mobility to persons restricted to a sitting position.

    Device Description

    WU'S POWER WHEELCHAIR, MAMBO 3

    AI/ML Overview

    This document is a 510(k) premarket notification letter from the FDA for a power wheelchair. It is not a study report and therefore does not contain any information regarding acceptance criteria or the results of a study proving a device meets these criteria.

    The letter essentially states that the FDA has reviewed the submission for the "WU'S Power Wheelchair, MAMBO 3" and determined it is "substantially equivalent" to legally marketed predicate devices. This means it can be marketed, subject to general controls provisions.

    To directly answer your request:

    1. A table of acceptance criteria and the reported device performance: Not available in this document.
    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective): Not available in this document.
    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): Not available in this document.
    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not available in this document.
    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 available in this document. This device is a power wheelchair, not an AI-assisted diagnostic tool.
    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not available in this document. This device is a power wheelchair.
    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not available in this document.
    8. The sample size for the training set: Not available in this document.
    9. How the ground truth for the training set was established: Not available in this document.

    In summary, this document is solely an FDA clearance letter and does not provide the detailed study information you are seeking.

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    K Number
    K030709
    Date Cleared
    2003-04-04

    (29 days)

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

    WU'S POWERED WHEELCHAIR, MAMBO 5

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

    The device is intended for medical purposes to provide mobility to persons restricted to a sitting position.

    Device Description

    WU'S Power Wheelchair, MAMBO 5

    AI/ML Overview

    This document is a 510(k) clearance letter from the FDA for the WU'S Power Wheelchair, MAMBO 5. It confirms that the device is substantially equivalent to legally marketed predicate devices. However, this type of document does not contain the detailed acceptance criteria or a study proving that the device meets those criteria, as typically found for AI/ML medical devices.

    Medical devices like power wheelchairs are regulated differently from AI/ML software. Their "acceptance criteria" primarily relate to performance standards, safety, and functional requirements, which are typically established through engineering tests, usability assessments, and predicate device comparison, rather than clinical studies with ground truth established by experts.

    Therefore, most of the requested information regarding AI/ML device studies, ground truth, expert consensus, and sample sizes for training/test sets is not applicable to this document. The document confirms market clearance based on substantial equivalence to a predicate device.

    Here's what can be extracted based on the nature of the device and the document provided:

    1. A table of acceptance criteria and the reported device performance

    • Not explicitly provided in this document. For a power wheelchair, acceptance criteria would typically involve:
      • Safety standards: e.g., electrical safety, mechanical stability, braking effectiveness.
      • Performance standards: e.g., maximum speed, range per charge, weight capacity, obstacle climbing ability, turning radius, durability.
      • Usability: ease of operation, comfort.
    • The document states that the device is "substantially equivalent" to legally marketed predicate devices. This implies that the device meets the same performance and safety standards as those predicates. Therefore, the "reported device performance" is essentially congruent with that of existing compliant power wheelchairs.

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

    • Not applicable / Not provided. This information is relevant for clinical studies or AI/ML model validation, not for the regulatory clearance of a physical medical device like a power wheelchair. Testing for a wheelchair would involve engineering and performance tests on the device itself, not a "test set" of patient data.

    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)

    • Not applicable / Not provided. "Ground truth" established by experts is a concept for evaluation of diagnostic or AI/ML tools. For a power wheelchair, ground truth is established by physical measurement, engineering standards, and user testing.

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

    • Not applicable / Not provided. Adjudication methods are used in clinical trials or expert reviews, not typically for the direct testing of a physical device like a wheelchair.

    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, this was not done and is not applicable. MRMC studies are specifically for evaluating AI/ML-assisted diagnostic tools where "human readers" (e.g., radiologists, pathologists) interpret data. This device is a power wheelchair.

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

    • No, this was not done and is not applicable. This concept pertains to AI/ML software performance. The "algorithm" of a power wheelchair is its mechanical and electrical design, not a diagnostic algorithm.

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

    • For a power wheelchair, ground truth would be based on:
      • Engineering standards: e.g., ANSI/RESNA standards for wheelchairs and scooters.
      • Physical measurements and tests: e.g., measuring speed, stability, battery life, weight capacity.
      • Usability assessments: observing users operating the device.
      • Safety compliance: ensuring adherence to electrical, mechanical, and fire safety regulations.
    • The document implies that these types of "ground truth" (i.e., compliance with relevant standards and predicate performance) were met implicitly through the substantial equivalence determination.

    8. The sample size for the training set

    • Not applicable / Not provided. This is irrelevant for a physical mechanical/electrical device.

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

    • Not applicable / Not provided. This is irrelevant for a physical mechanical/electrical device.

    In summary, this FDA clearance letter for a power wheelchair does not contain the information requested because the device type and regulatory pathway are fundamentally different from those applicable to AI/ML medical devices where such detailed study and ground truth information would be available. The clearance is based on demonstrating "substantial equivalence" to existing, legally marketed predicate devices, meaning it performs as safely and effectively as similar devices already on the market, meeting established safety and performance standards.

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