HUBANG, MODEL HBL13/HBG12-S

K083044 · Shanghai Hubang Medical Appliances Co., Ltd. · IOR · Dec 12, 2008 · Physical Medicine

Device Facts

• Record ID: K083044
• Device Name: HUBANG, MODEL HBL13/HBG12-S
• Applicant: Shanghai Hubang Medical Appliances Co., Ltd.
• Product Code: IOR · Physical Medicine
• Decision Date: Dec 12, 2008
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.3850
• Device Class: Class 1

Intended Use

They are intended use to provide mobility to physically challenged persons limited to a sitting position on the flat and firm terrain in outdoor or indoor.

Device Story

Manual wheelchair for mobility-impaired individuals; provides seated transport on flat, firm surfaces. Device features rigid frame (steel for HBG12-S; aluminum for HBL13) with nylon upholstery; two 24-inch rear wheels; two 8-inch front casters. Operated by user or caregiver; intended for indoor/outdoor use. No electronic or software components.

Clinical Evidence

Bench testing only. Device meets performance requirements per ANSI/RESNA WC Vol. 1 (Sections 1, 5, 7, 8, 15, 16) and California Bureau of Home Furnishings 117.

Technological Characteristics

Mechanical manual wheelchair. Materials: steel (HBG12-S) or aluminum (HBL13) frame; nylon upholstery. Configuration: two 24-inch rear wheels, two 8-inch front casters. Standards: ANSI/RESNA WC Vol. 1, California Bureau of Home Furnishings 117.

Indications for Use

Indicated for physically challenged persons limited to a sitting position requiring mobility assistance on flat, firm indoor or outdoor terrain.

Regulatory Classification

Identification

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

Predicate Devices

• Solara (K012370)

Submission Summary (Full Text)

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K083044

Image /page/0/Picture/1 description: The image shows a logo with the word "Hubang" written below a graphic. The graphic consists of a square with a circle inside it, and a smaller circle to the right of the larger circle. The logo appears to be distressed or aged, with a grainy texture and uneven edges.

## Shanghai Hubang Medical Appliances Co., Ltd.

No.1188, Xiangyang Rd, Min Hang District, Shanghai, China, 201108 Tel: [phone] Fax: [phone] E-Mail: [e-mail]

### 510(k) Summary

#### Device

DEC 1 2 2008

Trade name: HUBANG HBL13/HII/G12-S manual wheelchair

Common name: Manual Wheelchai

Classification name: Mechanical wheelchair

Medical specialty (Panel): Physical Medicine Device

Regulation number: 890.3850

Product Code: 89IOR

Classification: Class I

#### Predicate devices

Solara (K012370)/ Invacare Corpor ition

#### Intend use of device

They are intended use to provide mobility to physically challenged persons limited to a sitting position on the flat and firm terrain in outdoor or indoor.

#### Device description:

They consist of a rigid, mechanical, steel(HBG12-S)/aluminum(HBL13) frame and nylon upholstery back and seat. They have two 24" rear wheels and two 8" front casters for turning and maneuv erability.

#### Substantial equivalence:

They are substantially equivalent to the legal products in USA. They have the same technological characteristics a id intended use of the devices.

There are minor differences in performance specifications of the manual wheelchairs, these differences do not alter the intended use function and use of the device, nor do they raise ary new questions pertaining to safety or effectiveness.

#### Non-Clinical testing

They meet the applicable performance requirements as specified in ANSI/RESNA WC Vol. 1 Sec. 1. Sec.5, Sec.7, Sec.8, Sec.15, Sec.16 and California Bureau of Home Furnishi igs 117

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Public Health Service

Image /page/1/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus, which is a symbol often associated with medicine and healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Shanghai Hubang Medical Appliances Co., Ltd. % Junnata Chang, Ph.D. 14F-2, No. 1, Lane 25, Zhuangjing Road Banqiao China (Taiwan) 220

DEC 1 2 2008

Re: K083044

> Trade/Device Name: Hubang HBL13/HBG12-S Manual Wheelchairs Regulation Number: 21 CFR 890.3850 Regulation Name: Mechanical wheelchair. Regulatory Class: Class I Product Codc: IOR Dated: September 18, 2008 Received: October 20, 2008

Dear Dr. 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

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Page 2 - Junnata Chang, Ph.D.

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.

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 yours.

Murk N. Millican

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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# Statement of Indications for Use

510(k) Number (if known):

Device Name: HUBANG HBL13/HBG12-S manual wheelchairs

Indications for Use:

To provide mobility to physically challenged persons limited to a sitting position on the flat and firm terrain in outdoor or indoor.

Prescription Use

Over-The-Counter Use X

(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)

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(Division Sign-Off) Division of General, Restorative, and Neurological Devices

**510(k) Number** k083044

(Posted November 13, 2003)