HEARTWAY POWER MOBILITY SCOOTER, PF7

K080242 · Heartway Medical Products Co., Ltd. · INI · Feb 27, 2008 · Physical Medicine

Device Facts

• Record ID: K080242
• Device Name: HEARTWAY POWER MOBILITY SCOOTER, PF7
• Applicant: Heartway Medical Products Co., Ltd.
• Product Code: INI · Physical Medicine
• Decision Date: Feb 27, 2008
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.3800
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

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

Device Story

Battery-operated indoor/outdoor electric scooter; provides mobility for individuals restricted to seated position. Rider operates via hand controls on steering column. Features four-wheeled base, seat, armrests, and front basket. Disassemblable for transport; includes onboard battery charger. Used in home or community settings by patient. Output is physical movement of the scooter, enabling user mobility.

Clinical Evidence

Bench testing only. EMC testing performed per ANSI/RESNA WC/Vol.2-1998, CISPR 11, EN61000-3-2, and IEC61000-3-3. Materials passed strength, fatigue, and resistance ignition tests.

Technological Characteristics

Battery-operated electric scooter. Four-wheeled base. Electronic system includes controller, batteries, and recharger (UL certified). Materials meet strength and fatigue standards. Disassemblable form factor.

Indications for Use

Indicated for persons restricted to a seated position requiring mobility 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

• HEARTWAY Power Mobility Scooter, PT6 (K073044)

Submission Summary (Full Text)

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K080242

January 25, 2008

Image /page/0/Picture/1 description: The image shows a logo with a stylized floral design above the word "HEARTWAY". The floral design consists of four rounded shapes arranged in a circular pattern, resembling petals or leaves. The word "HEARTWAY" is written in a bold, sans-serif font, with all letters capitalized. The logo appears to be a simple, yet recognizable design, possibly representing a company or organization with a focus on nature, health, or well-being.

**HEARTWAY MEDICAL PRODUCTS CO.,LTD.**

NO.6. ROAD 25, TAICHUNG INDUSTRIAL PARK, TAICHUNG, TAIWAN R.O.C. 408
TEL:[phone] (Sales)-23583232 (Rep) FAX:[phone]
Web: www.heartway.com.tw
E-mail: [e-mail]

## 510(k) SUMMARY "

Submitter's Name: HEARTWAY Medical Products Co., Ltd. No.6, Road 25, Taichung Industrial Park, Taichung, 408, Taiwan, ROC

Date summary prepared:

Device Name:

HEARTWAY Power Mobility Scooter. PF7 Proprietary Name: POWERED SCOOTER Common or Usual Name: MOTORIZED 3-WHEELED VEHICLE, Class II, Classification Name: 21 CFR 890.3800 Product Code: INI

Indications for Use:

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

Description of the device:

The HEARTWAY Power Mobility Scooter, PF7 is an indoor / outdoor clectric 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.

## Performance Testing:

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)

Legally marketed device for substantial equivalence comparison: HEARTWAY Power Mobility Scooter, PT6 (K073044)

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Image /page/1/Picture/0 description: The image shows a logo for "HEARTWAY". The logo consists of a stylized floral design above the word "HEARTWAY". The floral design is composed of four petal-like shapes arranged in a circular pattern. The word "HEARTWAY" is written in a bold, sans-serif font.

HEARTWAY MEDICAL PRODUCTS CO.,LTD. 0.6, Road 25, Taichung Industrial Park, Taichung, Taiwan R.O.C. EL : 886-4-23580357 (Sales) : 23583232 (Rep) : FAX : B86-4-23590786

ISC-9001:
CERTIFICATE

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## Summary for substantial equivalence comparison:

According to the above table that the intended use between the two devices is the same. Mainframes materials of the two devices are fixed, and all meet the strength and fatigue tests and they use the same material aspects. Moreover, the maximum speed, the suspension of cross brace, footplates, armrest type, warranty, and even the overall dimensions for the two devices are all the same. The back upholstery material is also the same fabric and passed the resistance ignition test.

Especially the electronic systems between two devices are the same suppliers, and all passed by the UL certificated, for instance the electronic controller, batteries, recharger, passed by per charge for the two devices is same 32 miles. Thus the same safety level for the two devices is assured.

Owing to the predicate device is three wheels scooter and the new device is four wheels scooter. Thus the main differences for the two devices are including weight wheels beeter. the same and the overall weight differences are not safety aspect. They are substantially equivalent.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the circumference. Inside the circle is a stylized eagle or bird-like symbol, composed of several curved lines that form the shape of a bird's head and wings.

Public Health Service

FEB 27 2008

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Heartway Medical Products Co., Ltd. % Dr. Jen, Ke-Min No. 6, Road 25 Taichung Industrial Park Taichung, Taiwan R.O.C. 408

K080242 Re:

Trade/Device Name: Heartway Power Mobility Scooter, PF7 Regulation Number: 21 CFR 890.3800 Regulation Name: Motorized three-wheeled vehicle Regulatory Class: Class II Product Code: INI Dated: January 25, 2008 Received: January 31, 2008

Dear Dr. Jen, Ke-Min:

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.

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Page 2 – Dr. Jen, Ke-Min

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at [phone]. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at [phone]. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at toll-free number [phone] or [phone] or the Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely vours.

Mark M. Milliman

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

Enclosure

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## Indications for Use

510 (K) Number ( If Known ):___K

Device Name: HEARTWAY Power Mobility Scooter, PF7_

Indications for Use:

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

Prescription Use _____________________________________________________________________________________________________________________________________________________________

AND/OR

Over-The-Counter Use \$\sqrt{}\$

(Part 21 CFR 801 Subpart D)

(21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

| Concurrence of CDRH, Office of Device Evaluation (ODE) | |
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| (Division Sign-Off) | |
| Division of General, Restorative, | |
| and Neurological Devices | |
| | Page 1 of 1 |
| 510(k) Number | K080242 |