RUIKE 3421 POWERED WHEELCHAIR

K070501 · Shanghai Ruike Sports Goods Co., Ltd. · ITI · Mar 22, 2007 · Physical Medicine

Device Facts

• Record ID: K070501
• Device Name: RUIKE 3421 POWERED WHEELCHAIR
• Applicant: Shanghai Ruike Sports Goods Co., Ltd.
• Product Code: ITI · Physical Medicine
• Decision Date: Mar 22, 2007
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.3860
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Ruike 3421 powered wheelchair is motor driven, indoor and outdoor transportation vehicles with the intended use to provide mobility to disabled or elderly persons limited to a seated position.

Device Story

Battery-operated powered wheelchair; provides mobility for disabled or elderly users. Design features modular construction; separates into two components (seat frame and body frame with motors/battery) to facilitate transport via bus or train. Operated by user via onboard controls. Intended for indoor and outdoor use. Provides mobility benefit by increasing portability for long-distance travel.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Battery-operated powered wheelchair; modular design (seat frame and body frame). Class II device. Regulation 890.3860. Product code ITI.

Indications for Use

Indicated for disabled or elderly persons limited to a seated position requiring indoor/outdoor mobility assistance.

Regulatory Classification

Identification

A powered wheelchair is a battery-operated device with wheels that is intended for medical purposes to provide mobility to persons restricted to a sitting position.

Predicate Devices

• CWD01 (K062888)

Submission Summary (Full Text)

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Kozosol

MAR 2 2 2007

# Shanghai Ruike Sports Goods CO., LTD.

No. 689, Xinhu Road, Shanghai, China TEL: [phone] FAX: [phone]

## 510(k) Summary

#### Device

Trade name: Ruike 3421 powered wheelchair

Common name: Powered wheelchair

Classification name: Powered wheelchair

Medical specialty (Panel): Physical Medicine Device

Regulation number: 890.3860

Product Code: ITI

Classification: Class II

#### Predicate devices

CWD01 (K062888) / EMG Technology Co. Ltd.

#### Intend use of device

Ruike 3421 powered wheelchair is intended for an indoor/outdoor power wheelchair that provides transportation for disabled or elderly persons limited to a seated position.

#### Device description:

The Ruike 3421 powered wheelchair is an indoor/outdoor powered wheelchair that is battery operated. The design of this wheelchair is basically similar to other powered wheelchairs that are already on the market. But the Ruike 3421 is kind oh a new class of lightweight powered wheelchair. By providing a powered wheelchair that breaks down into two manageable components (seat frame, body frame with motors and battery pack), a user can have a more practical alternative when traveling long distances by bus, train, etc.

#### Substantial equivalence:

The Ruike 3421 powered wheelchair is substantially equivalent to the CWD01 (K062888) manufactured by EMG Technology Co. Ltd..

There are minor differences in performance specifications of the powered wheelchairs, these differences do not alter the intended function and use of the device, nor do they raise any new questions pertaining to safety or effectiveness. Therefore, Shanghai Ruike Sports Goods CO., LTD. believes that the Ruike 3421 powered wheelchair is substantially equivalent to legally marketed devices currently in commercial distribution.

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Image /page/1/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three trailing lines, enclosed within a circular border. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the border of the circle.

### DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Shanghai Ruike Sports Goods Co., Ltd. % Ms. Junnata Chang 14 F-2, No. 1, Lane 25, Zhuangjing Road Banqiao. Taipei County, Taiwan (China)

MAR 2 2 2007

Re: K070501

Trade/Device Name: Ruike 3421 powered wheelchair Regulation Number: 21 CFR 890.3860 Regulation Name: Powered wheelchair Regulatory Class: Class II Product Code: ITI Dated: February 12, 2007 Received: February 21, 2007

Dear Ms. Chang:

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 controls 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. 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.

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### Page 2 - Ms. Junnata Chang

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/industry/support/index.html.

Sincerely yours

f.o.A
Mark N. Mollen

Mark N. Melke rson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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### 3. Device descriptive information

3.1 Statement of indication for use

# Statement of Indications for Use

510(k) Number (if known):

Device Name: Ruike 3421

Indications for Use:

The Ruike 3421 powered wheelchair is motor driven, indoor and outdoor transportation vehicles with the intended use to provide mobility to disabled or elderly persons limited to a seated position.

Over-The-Counter Use _ Prescription Use X (Part 21 CFR 807 Subpart C) (Part 21 CFR 801 Subpart D) AND/OR (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of 1

Paul

Drvision Sign-Off) Division of Get-eral, Restorative, auo Neurological Devices

310(k) Number

(Posted November 13, 2003)