C.T.M. MOBILITY SCOOTER, MODEL HS-235

K032918 · C.T.M. Homecare Product, Inc. · INI · Oct 6, 2003 · Physical Medicine

Device Facts

• Record ID: K032918
• Device Name: C.T.M. MOBILITY SCOOTER, MODEL HS-235
• Applicant: C.T.M. Homecare Product, Inc.
• Product Code: INI · Physical Medicine
• Decision Date: Oct 6, 2003
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.3800
• Device Class: Class 2

Intended Use

The device is an indoor/outdoor scooter that provides transportation for a disabled or elderly person.

Device Story

The C.T.M. Mobility Scooter HS-235 is a battery-operated, three-wheeled electric vehicle designed for indoor and outdoor use by disabled or elderly individuals. The device features a base, lightweight seat, armrests, and a front basket. The rider operates the scooter using hand controls located on the steering column. It includes an automatic braking system and an onboard battery charger. The scooter is designed to be disassembled for transport. It serves as a mobility aid to provide transportation, thereby increasing independence for the user.

Clinical Evidence

No clinical data submitted. Substantial equivalence demonstrated via bench testing per FDA guidance for motorized three-wheeled vehicles.

Technological Characteristics

Three-wheeled electric scooter; battery-operated; automatic braking system; includes onboard battery charger; dimensions and motor size vary from predicate; intended for indoor/outdoor use.

Indications for Use

Indicated for disabled or elderly persons requiring indoor/outdoor transportation assistance.

Regulatory Classification

Identification

A motorized three-wheeled vehicle is a gasoline-fueled or battery-powered device intended for medical purposes that is used for outside transportation by disabled persons.

Predicate Devices

• C.T.M. Mobility Scooter HS-120 (K031272)

Submission Summary (Full Text)

{0}------------------------------------------------

OCT - 6 2003

## 510(k) SUMMARY

Submitter's Name: C.T.M. Homecare Product, Inc. 1663 Iowa Ave. Riverside, CA 92507 909-788-8168

Date summary prepared:

September 10, 2003

Device name:

Proprietary name: Common or usual name: Classification name:

C.T.M. Mobility Scooter HS-235 Electric scooter. Motorized three-wheeled vehicle, Class II, 21 CFR 890.3800.

Legally marketed device for substantial equivalence comparison:

C.T.M. Mobility Scooter HS-120 submitted by C.T.M. Homecare Product, Inc. and cleared for marketing under 510(k) *K031272.

Description of the device:

The C.T.M. Mobility Scooter HS-235 is an indoor/outdoor electric scooter that is battery operated. It has a base with three wheels with a lightweight 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.

Intended use of device:

The device is an indoor/outdoor scooter that provides transportation for a disabled or elderly person.

Technological characteristics:

The device features and use parameters of the HS-235 and the HS-120 are very similar. They vary only in parameters like dimensions and the size of the motor. Both are electric scooters that are battery operated and have automatic braking systems. Batteries and battery chargers are provided with each scooter.

Testing conducted:

Tests listed in the Guidance Document for the Preparation of Premarket Notification [510(k)] Applications for Mechanical and Powered Wheelchairs, and Motorized Three Wheeled Vehicles, July 1995, were conducted and the results included in the subject 510(k) submission.

Performance testing:

Comparative performance testing and clinical evaluations were not submitted as part of this 510(k).

{1}------------------------------------------------

C.T.M. Mobility Scooter HS-235 510(k) Notification Page 13

## V. Clinical Performance Evaluations

Clinical performance evaluations are not necessary to demonstrate substantial equivalence to the predicate device.

## VL. Conclusion

In summary, based on a comparison of regulatory issues, device features, and use parameters, the C.T.M. Mobility Scooter HS-235 is substantially equivalent to the C.T.M. Mobility Scooter HS-120.

{2}------------------------------------------------

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is a stylized image of a human figure with three wavy lines extending from the head, resembling a bird in flight.

Public Health Service

OCT - 6 2003

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

C.T.M. Homecare Product, Inc. c/o Mr. Robert S. McQuate President R.S. McQuate & Associates, Inc. 3636 E. Columbine Drive Phoenix, AZ 85032

Re: K032918

Trade/Device Name: C.T.M. Mobility Scooter HS-235 Regulation Number: 21 CFR 890.3800 Regulation Name: Motorized three-wheeled vehicle Regulatory Class: II Product Code: INI September 12, 2003 Dated: Received: September 22, 2003

Dear Mr. McQuate:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general contrôls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

{3}------------------------------------------------

Page 2 -- Mr. Robert S. McQuate

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Mark N Millerson

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{4}------------------------------------------------

## Indications for Use Statement

510(k) Number (if known): _

Device name: C.T.M. Mobility Scooter HS-235

Indications for Use:

The C.T.M. Mobility Scooter HS-235 is an indoor/outdoor scooter that provides transportation for a disabled or elderly person.

> (Please do not write below this line) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Concurrence of CDRH, Office of Device Evaluation for

:10(k) Number --

Mark A. Milburn

(Division Sign-Off) Division of General, R Corative and Neurological Devilus 032918

Prescription Use (Per 21 CFR 801.109)

OR Over-The-Counter Use ______________