PINNACLE STAIR WAY LIFT

K091858 · Summit Harmar, LLC · ILK · Jul 1, 2009 · Physical Medicine

Device Facts

• Record ID: K091858
• Device Name: PINNACLE STAIR WAY LIFT
• Applicant: Summit Harmar, LLC
• Product Code: ILK · Physical Medicine
• Decision Date: Jul 1, 2009
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.5150
• Device Class: Class 2
• Attributes: Therapeutic

Indications for Use

The Pinnacle Stair Way Lift is intended to assist transfers of patients or mobility impaired persons up and down flights of stairs.

Device Story

Pinnacle Stair Way Lift is a battery-powered transport device for home use. It carries a single seated patient up or down a single flight of stairs at an incline of 27-45 degrees. Maximum travel distance is 75 feet; maximum speed is 20 feet per minute. Device is operated by the patient or caregiver. It provides mobility assistance for individuals with impaired physical function, facilitating navigation of residential staircases.

Clinical Evidence

Bench testing only. The device was certified by CSA to ASME A18.1 (Safety Standards for Platform Lifts and Stairway Lifts) and ASME A17.1 (Safety Code for Elevators and Escalators).

Technological Characteristics

Battery-powered stair lift; indoor use only. Designed for 27-45 degree incline; 350 lb weight capacity; 75' max travel distance; 20'/min max speed. Complies with ASME A18.1 and ASME A17.1 standards.

Indications for Use

Indicated for patients or mobility impaired persons requiring assistance to travel up and down a single flight of stairs. Intended for indoor use only. Maximum patient weight 350 lbs.

Regulatory Classification

Identification

Powered patient stairway chair lifts: A powered patient stairway chair lift is a motorized lift equipped with a seat and permanently mounted in one location that is intended for use in mitigating mobility impairment caused by injury or other disease by moving a person up and down a stairway. All other powered patient transport: A powered patient transport is a motorized device intended for use in mitigating mobility impairment caused by injury or other disease by moving a person from one location or level to another, such as up and down flights of stairs (e.g., attendant-operated portable stair-climbing chairs). This generic type of device does not include motorized three-wheeled vehicles or wheelchairs.

Special Controls

(i) Appropriate analysis and nonclinical testing (such as that outlined in the currently FDA-recognized edition of American Society of Mechanical Engineers (ASME) A18.1 “Safety Standard for Platform Lifts and Stairway Chair Lifts”) must demonstrate that the safety controls are adequate to prevent a free fall of the chair in the event of a device failure; (ii) Appropriate analysis and nonclinical testing must demonstrate the ability of the device, including armrests, to withstand the rated load with an appropriate factor of safety; (iii) Appropriate restraints must be provided to prevent the user from falling from the device (such as that outlined in the currently FDA-recognized edition of ASME A18.1 “Safety Standard for Platform Lifts and Stairway Chair Lifts”); (iv) Appropriate analysis and nonclinical testing (such as that outlined in the currently FDA-recognized editions of AAMI/ANSI/IEC 60601-1-2, “Medical Electrical Equipment—Part 1-2: General Requirements for Safety—Collateral Standard: Electromagnetic Compatibility—Requirements and Tests,” and ASME A18.1 “Safety Standard for Platform Lifts and Stairway Chair Lifts”) must validate electromagnetic compatibility and electrical safety; and (v) Appropriate analysis and nonclinical testing must demonstrate the resistance of the device upholstery to ignition.

Predicate Devices

• Bruno Electra-Ride Stair Way Elevator (K033752)

Submission Summary (Full Text)

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

Image /page/0/Picture/0 description: The image contains the logo for "Hammer Summit". The logo features a stylized mountain graphic above the word "Summit", with the word "Hammer" above that. To the left of the text is a square graphic with a pattern of lines.

510(k) Premarket Notification

K091858

Pinnacle Stair Way Lift

# 510(k) SUMMARY

# Submitter's Name, Address, Telephone Number, Contact Person and Date Prepared.

Summit Harmar, LLC 2075 47th Street Sarasota, Florida 34234 Phone: [phone] Fax: [phone]

JUL - 1 2009

Kevin Kaminski Contact Person: Director, Global Sourcing and Logistics

June 19, 2009 Date Prepared:

Name of Device

Pinnacle Stair Way Lift

### Common or Usual Name

Stair Way Lift

### Classification Name

Transport, Patient, Powered

#### Predicate Device

Bruno Electra-Ride Stair Way Elevator (K033752)

# Intended Use

The Pinnacle Stair Way Lift is intended to assist transfers of patients or mobility impaired persons up and down flights of stairs.

## Device Description

The Harmar Summit, LLC Pinnacle Stair Way Lift is a battery powered patient transport The Thankar Junimit, the home. It's intended function and use is to assist transfers of patients or mobility impaired persons up and down flights of stairs. It is intended for indoor use only.

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

Image /page/1/Picture/0 description: The image shows the logo for Harmar Summit. The logo is black and white and includes the words "Harmar Summit" in a bold font. Below the logo, the words "510(k) Premarket Notification" are written in a smaller font. The logo also includes a graphic of a mountain.

The system is designed to carry a single patient, up a single flight of stairs while seated, at angle of between 27-45 degrees. Maximum travel distance is 75' at the maximum patient weight is 350 lbs. Maximum travel speed at full rated load is 20' per minute.

# Substantial Equivalence

The Summit Harmar Pinnacle Stair Way Lift is substantially equivalent to the Bruno Electra-Ride Stair Way Elevator (K033752).

# Performance Data

The Pinnacle Stairway lift is CSA and CUS listed under 226703. It has been certified by CSA to the following standards;

ASME A18.1 Safety Standards for Platform Lifts and Stairway Lifts

ASME A17.1 Safety Code for Elevators and Escalators

{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 is a circular emblem with the department's name surrounding a stylized image of an eagle. The eagle is depicted with three stripes forming its body and wings, and its head is facing to the right.

#### Public Health Service

JUL - 1 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Harmar Summit, LLC % Spectre Solutions, Inc. Mr. Edward Kroll 5905 Fawn Lane Cleveland, Ohio 44144

Re: K091858

Trade/Device Name: Harmar Summit Pinnacle Stair Way Lift Regulation Number: 21 CFR 890.5150 Regulation Name: Powered patient transport Regulatory Class: II Product Code: ILK Dated: June 22, 2009 Received: June 23, 2009

Dear Mr. Kroll:

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 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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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. Edward Kroll

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/cdrh/mdr/ for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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

Mark N. Melkerson

Director Division of Surgical, Orthopedic, and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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

# Indications for Use

510(k) Number (if known): TBD

Device Name: Harmar Summit Pinnacle Stair Way Lift

Indications for Use:

The intended use of the Pinnacle Stair Way Lift is to assist transfers of patients or mobility impaired persons up and down flights of stairs.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use X (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

vision Sign Off

(Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices

Page 1 of 1

510(k) Number K091858