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510(k) Data Aggregation

    K Number
    K240913
    Date Cleared
    2024-05-31

    (58 days)

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

    K212092

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

    It 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

    This Electric Wheelchair, models: HBLD3-B, HBLD3-E, is a motor driven, indoor and outdoor transportation vehicle, which a device for assisting action handicapped people and disabled people to move. It is suitable for disabled people with mobility difficulties and elderly people. The device consists of front wheel, drive wheel, frame, controller, motor, armrest, backrest, seat cushion, seatbelt, pedal, battery box and charger. The device is powered by Li-ion Battery pack with 20 Km range, which can be recharged by an offboard battery charger that can be plugged into an AC socket outlet (100-240V. 50/60Hz) when the device is not in use. The patient can activate the controller handle (joystick) to control the speed and direction of the wheelchair movement. In addition, when the patient releases the joystick will return back to the central position and the wheelchair will be automatically stopped soon due to automatic electronic brake system. Once the joystick is activated again move to other position, the wheelchair will be re-energized.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for an Electric Wheelchair. It focuses on demonstrating substantial equivalence to a predicate device through non-clinical testing against various ISO standards. There is no information within the document about the acceptance criteria or a study that proves a device meets specific clinical performance acceptance criteria related to AI or diagnostic accuracy. The document is for a physical medical device (Electric Wheelchair) and not an AI-enabled diagnostic tool.

    Therefore, for your request, I can only extract information related to the non-clinical testing performed to show substantial equivalence.

    Here's a breakdown of the available information based on your request, with the understanding that it pertains to non-clinical performance and not the type of clinical or AI-related study you might be expecting:


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

    The document states that "Non-clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device." The acceptance criteria are implicit in meeting the requirements of the standards listed, and the reported performance is simply that the device "meets its design specification" or "meet the requirements." Specific numerical performance data or acceptance criteria are not provided in detail beyond the summary statements.

    Acceptance Criteria (based on ISO Standards Compliance)Reported Device Performance (Summary Statement)
    Compliance with ISO 10993-5: 2009 (Cytotoxicity)All user directly contacting materials are compliance with ISO10993-5, ISO10993-10 and ISO 10993-23 requirements.
    Compliance with ISO 10993-10:2021 (Irritation And Skin Sensitization)All user directly contacting materials are compliance with ISO10993-5, ISO10993-10 and ISO 10993-23 requirements.
    Compliance with ISO 10993-23: 2021 (Irritation)All user directly contacting materials are compliance with ISO10993-5, ISO10993-10 and ISO 10993-23 requirements.
    Compliance with ISO 7176-1: 2014 (Static stability)The Static stability has been determined after the testing according to the ISO 7176-1, and test results meet its design specification.
    Compliance with ISO 7176-2:2017 (Dynamic stability)The dynamic stability has been determined after the testing according to the ISO 7176-2, and test results meet its design specification.
    Compliance with ISO 7176-3: 2012 (Effectiveness of brakes)The effectiveness of brakes has been determined after the testing according to the ISO 7176-3, and test results meet its design specification.
    Compliance with ISO 7176-4 (Theoretical distance range)The theoretical distance range has been determined after the testing according to the ISO 7176-4, and test results meet its design specification.
    Compliance with ISO 7176-5 (Overall dimensions, mass and manoeuvring space)The dimensions, mass has been determined after the testing according to the ISO 7176-5
    Compliance with ISO 7176-6: 2018 (Maximum speed, acceleration and deceleration)The dimensions, mass has been determined after the testing according to the ISO 7176-6
    Compliance with ISO 7176-7 (Measurement of seating and wheel dimensions)The seating and wheel dimensions has been determined after the testing according to the ISO 7176-7
    Compliance with ISO 7176-8:2014 (Static, impact and fatigue strengths)All test results meet the requirements in Clause 4 of ISO 7176-8
    Compliance with ISO 7176-9:2009 (Climatic tests)The test results shown that the device under tests could continue to function according to manufacturer's specification after being subjected to each of the tests specified in Clause 8 of ISO 7176-9
    Compliance with ISO 7176-10:2008 (Obstacle-climbing ability)The obstacle-climbing ability of device has been determined after the testing according to the ISO 7176-10
    Compliance with ISO 7176-11:2012 (Test dummies)The test dummies used in the testing of ISO 7176 series are meet the requirements of ISO 7176-11
    Compliance with ISO 7176-13 (Coefficient of friction of test surfaces)The coefficient of friction of test surfaces has been determined, which could be used in other 7176 series tests involved
    Compliance with ISO 7176-14:2008 (Power and control systems)All test results meet the requirements in Clause 7, 8, 9, 10, 11, 12, 13, 14, 15, 17 of ISO 7176-14
    Compliance with ISO 7176-15:1996 (Information disclosure, documentation and labeling)The test results shown that information disclosure, documentation and labelling of device meet the requirements of ISO 7176-15
    Compliance with ISO 16840-10:2021 (Resistance to ignition of postural support devices)The performance of resistance to ignition meet the requirements of ISO 16840-10
    Compliance with ISO 7176-21:2009 (Electromagnetic compatibility)The EMC performance results meet the requirements of ISO 7176-21
    Compliance with ISO 7176-25:2022 (Lead-acid batteries and chargers)(Not explicitly stated in table, but listed as standard complied with in G. Non-Clinical Test Conclusion)
    Compliance with FDA Regulatory requirements for Label and labelingConforms to FDA Regulatory

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

    The document is for a medical device (Electric Wheelchair) and describes non-clinical performance testing. It does not refer to a "test set" in the context of data for an AI algorithm. The testing was conducted on the physical device itself. The provenance of the testing data is that it was performed by/for Shanghai Hubang Intelligent Rehabilitation Equipment Co., Ltd. (China) to demonstrate compliance with international standards. Details on specific test sample sizes (e.g., number of wheelchairs tested) are not provided. The testing is inherently prospective for the device being submitted.


    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)

    This section is not applicable as the document is about non-clinical testing of a physical device against engineering standards, not an AI algorithm requiring expert-established ground truth.


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

    This section is not applicable for the same reasons as above.


    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

    This section is not applicable as the document is about an Electric Wheelchair and does not involve AI or human reader studies.


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

    This section is not applicable as the document is about an Electric Wheelchair and does not involve an algorithm.


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

    This section is not applicable. The "ground truth" for the non-clinical tests is defined by the technical specifications and requirements outlined in the ISO standards, which are objective engineering measurements and performance criteria.


    8. The sample size for the training set

    This section is not applicable as the document is about an Electric Wheelchair and does not involve an AI algorithm with a training set.


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

    This section is not applicable for the same reasons as above.

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