LIFTKAR PT

K110495 · Sano Transportgerate GmbH · ING · May 20, 2011 · Physical Medicine

Device Facts

• Record ID: K110495
• Device Name: LIFTKAR PT
• Applicant: Sano Transportgerate GmbH
• Product Code: ING · Physical Medicine
• Decision Date: May 20, 2011
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.3930
• Device Class: Class 2

Indications for Use

The intended use of the LIFTKAR PT™ is to transport a wheelchair user or a person needing assistance up or down stairs by means of a battery powered, mobile lifting device. LIFTKAR PT is operated by an attendant and is used in residential and public facilities indoors and outside.

Device Story

Battery-powered, portable stair-climbing device; transports manual wheelchairs up/down stairs. Attendant-operated; requires manual wheelchair attachment via clamp mechanism. Operates using chain mechanism and braked wheels; wheels secure wheelchair on one stair while another set reaches next step. Dismantles into three parts: climber unit, battery pack, handle. Used in residential/public facilities, indoors/outdoors. Attendant must be certified, inspect product/stairs before use. Benefits include mobility for wheelchair users in environments without elevators.

Clinical Evidence

Bench testing only. Device tested by BERLIN CERT Prui und Zertifizierstelle for compliance with ISO 7176 series standards, including ISO 7176-23 (stair climbing), ISO 7176-1 (static stability), ISO 7176-6 (speed/acceleration), ISO 7176-8 (fatigue strength), ISO 7176-14 (power/control), ISO 7176-21 (EMC), and EN 12184. Results confirm device meets performance specifications for intended use.

Technological Characteristics

Battery-powered (sealed lead gel, 24V) stair-climbing device. Modular design (3 parts). Mechanical climbing principle using chain mechanism and braked wheels. Attaches to manual wheelchairs via clamp mechanism. Complies with ISO 7176 standards for wheelchair stability, dimensions, and power systems. No software algorithm described.

Indications for Use

Indicated for wheelchair users or disabled persons requiring assistance for transport up or down stairs in residential or public facilities, indoors or outdoors. Operated by a certified attendant.

Regulatory Classification

Identification

A permanently mounted wheelchair platform lift is a motorized vertical or inclined platform lift device permanently installed in one location that is intended for use in mitigating mobility impairment caused by injury or other disease by providing a guided platform to move a person from one level to another, with or without a wheelchair. A portable wheelchair elevator is a motorized lift device that is not permanently mounted in one location and that is intended for use in mitigating mobility impairment caused by injury or other disease by providing a means to move a person, with or without a wheelchair, from one level to another (e.g., portable platform lifts, attendant-operated stair climbing devices for wheelchairs).

Special Controls

(i) Appropriate analysis and nonclinical testing (such as that outlined in the currently FDA-recognized edition of 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 platform in the event of a device failure; (ii) Appropriate analysis and nonclinical testing (such as that outlined in the currently FDA-recognized edition of ASME A18.1 “Safety Standard for Platform Lifts and Stairway Chair Lifts”) must demonstrate the ability of the device to withstand the rated load with an appropriate factor of safety; (iii) Appropriate analysis and nonclinical testing (such as that outlined in the currently FDA-recognized edition of ASME A18.1 “Safety Standard for Platform Lifts and Stairway Chair Lifts”) must demonstrate the ability of the enclosures to prevent the user from falling from the device; and (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.

Predicate Devices

• Scalamobil (K920105)

Submission Summary (Full Text)

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MAY 2 0 2011

### 510(k)Summary

# SANO Transportgerate GmbH LIKFTKAR PT™, Elevator Wheelchair PRODUCT CODE ING Regulation Name Wheelchair Elevator Sec. 890.3930 Class II

#### Submitter's Information

SANO Transportgeraete Gmbh Am Holzpoldigut 22 Lichtenberg/Linz Upper Austria 4040 Austria Telephone [phone]-10 Fax 43 (0_7239/510-10-14 Manfred Winkler Managing Director

Dated Prepared: 1/20/11

### Name of Device and Sponsor LIFTKAR PT™ Product of SANO

# Common Name

Elevator, Wheelchair

#### Classification Name

Class II General Controls and Special Controls. Elevator Wheelchair

# Predicate Device

Scalamobil (K920105)

#### Intended Use

The intended use of the LIFTKAR PT™ is to transport a wheelchair user or a person needing assistance up or down stairs by means of a battery powered, mobile lifting device. LIFTKAR PT is operated by an attendant and is used in residential and public facilities indoors and outside.

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# Device Description

The LIFTKAR PT™ ADAPT is an attendant operated, battery powered lifting device that transports manual wheelchairs up or down stairs. The LIFTKAR PT is designed for indoor and outdoor use allowing mobility for the person needing assistance.

A portable stair-climber LIFTKAR PT can be dismantled into three parts, the climber unit, the battery pack and the handle. All parts are lightweight and easy to stow away.

# Substantial Equivalence

The LIFTKAR PT™ ADAPT is substantially equivalent to the Scalamobil K920105.

The predicate device Scalamobil manufactured by Ulrich Alber was evaluated by FDA under (k920105). Like the LIFTKAR PT the Scalamobil is a fully portable stair-climbing transporter designed to permit a manual wheelchair to go up or down stairs with an attendant operating the lifting device. The benefit of an attendant operated product is they must be certified to operate these devices and they are required to inspect the product and the stairs, for safety and effectiveness, each time the device is used.

Both the LIFTKAR PT™ and the predicate device are portable wheelchair transporters that attach to wheelchairs, safely and comfortably with a minimum of backward and forward tilting. Both attach to a wheelchair via a clamp mechanism. And both use a lifting device to go up and down stairs, with the use of braked wheels.

The wheelchair is fitted with brackets, that may be attached and removed as necessary.

To attach to the wheelchair the climbing unit is simply wheeled under the chair, so that the lower bolts of the power unit lock into the lower hook brackets already mounted on the wheelchair. The attendant lifts the upper bolt component, by pressing the UP switch on the handlebar and it locks into the clamps. The attendant then inserts the two locking pins into the clamp to secure the product to the wheelchair. The quick release wheels of the wheelchair are removed and placed back on when stairs are completed.

The stair-climbing principles are identical- one set of wheels secures the wheelchair on one stair and another set of wheels reach the next step. Both use a chain mechanism.

LIFTKAR PT™ ADAPT as well as Scalamobil carry an independent power source, making it a portable device, lightweight and compact. Both products break down into 3 parts, handle, battery and climbing device. Both way approximately the same and both can carry approximately the same weights.

Both the LIFTKAR PT™ ADAPT and the Scalamobil have models that are simply connected accessories to the product.

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# Product Comparison

### PT-Adapt 160

#### Scalamobil

| Minimum wheelchair width | 12.6 inches | 11 inches |
|-----------------------------------------------------------|--------------------|-----------------------|
| Weight (total): | 54.34 lbs | 54 lbs |
| Safe Workload (incl. wheelchair) | 352 lbs | 308 lbs |
| Overall height: | 44.49 inches | 44 inches |
| Overall width: | 18.98 inches | 19 inches |
| Stair Landing minimum: | 35.4 x 35.4 inches | 36 x 36 inches |
| Maximum Stair Height | 8.25 inches | 10 inches w/extension |
| Battery | Sealed lead gel | Sealed lead gel |
| Capacity with fully charged battery | 300 steps | 300 steps |
| Battery capacity | 5 ah | 3.3 ah |
| Nominal output voltage of charge | 24V | 24 V |
| Charging current | 1 amp | 1 amp |
| Three main components:<br>Handle, lifting device, battery | Same | Same |

### Performance Data

The LIFTKAR PT™ ADAPT was tested by BERLIN CERT Prui und Zertifizierstelle for The LIFT KARPT - ADAF I was tested by DERIAN GENES - Serlin, TEST Reports in Section:
Medizinnprodukte GmbH an der Technischen Universitat Berlin, TEST Reports in Section: 11.7-32

LIFTKAR PT ADAPT conforms with the following standards :

ISO 7176-23:2002 Requirements and Test Methods for attendant - operated stair climbing devices

ISO 7176-1:1999 Wheelchairs Determination of static stability

ISO 7176-111999 Wheelchairs Determination of overall dimensions, mass and maneuvering space

space
ISO 7176-6:2001 Wheelchairs Determination of maximum speed, acceleration and deceleration of electric wheelchairs

deceleration of clectric whoses and on the time to to electric wheelchairs

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ISO 7176-14:2008 Wheelchairs Power and control systems for electrically powered wheelchairs and scooters-Requirements and test methods

ISO 7176-21:2009 Wheelchairs Requirements and test methods for electromagnetic 100 / 27 oility of electrically powered wheelchairs and scooters, and battery chargers ISO 7176-11:1992 Wheelchairs-Part 11 Test Dummies (Physical Medicine) Date of Standard 1992

Standard 1772
ISO 7176-15:1996 Wheelchairs Requirements for Information disclosure, documentation and labeling.

and fabelling?
ISO 7176-8:1998 Wheelchairs Requirements and test methods for static impact and fatigue strength

EN 12184:1999 Electrically Powered Wheelchair, scooters and their chargers.

The performance Data results of the testing confirm that the device meets specifications for rne performance criteria and the functions it was intended for. And is substantially equivalent to the predicate device.

### Conclusion

Based on the design, performance specifications, testing, and intended use, the LIFTKAR PT™ is substantially equivalent to the legally marketed device, Scalamobil (k920105).

Since the device is essentially the same as the elevator, wheelchair stair-climbing device already marketed, (Scalamobil K920105), no effect on the safety and or effectiveness of the device is expected.

4.6

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Image /page/4/Picture/1 description: The image shows the seal for the Department of Health & Human Services - USA. The seal is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract image of an eagle.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

MAY 2 0 2011

Sano Transportgeraete GmbH % Ingegnoso Technologies, LLC Ms. Jeanine A. Carroccio 4028 Belleaire Lane Downers Grove, Illinois 60515

Re: K110495

Trade/Device Name: LIFTKAR PT™ Regulation Number: 21 CFR 890.3930 Regulation Name: Wheelchair elevator Regulatory Class: Class II Product Code: ING Dated: January 20, 2011 Received: February 22, 2011

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Dear Ms. Carroccio:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.

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

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Page 2 - Ms. Jeanine A. Carroccio

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 (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act): 21 CFR 1000-1050.

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/MedicalDevices/Safety/ReportaProblem/default.htm 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/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Aliz Bin nok

Mark N. Melkerson Director Division of Surgical, Orthopedic And Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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#### INDICATION FOR USE

510(k) Number:

Device Name: LIFTKAR PT™

Indications For Use:

The LIFTKAR PT™ Is a wheelchair, elevator commonly known as an easy method of transporting I he LIF I KAR I I " Is a whicelehan, crovates - This is done with alitting - LIFT AD PT wheelchair users of uisabled persons, ap and as a mobile stair-climber. LIFTKAR PT™ can be used on any stairs indoors or outside.

Prescription Use _____________________________________________________________________________________________________________________________________________________________

AND/OR

Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________

(21 CFR 801 Subpart C)

(Part 21 CFR 801 Subpart D)

(Please do not write below this line-continue on another page if needed)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division Sign Off

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

510(k) Number K110495