← Product Code [IOR](/productcode/IOR) · K030017

# CHUMP (K030017)

_Colours 'N Motion · IOR · May 1, 2003 · Physical Medicine · SESE_

**Canonical URL:** https://fda-staging.innolitics.com/device/K030017

## Device Facts

- **Applicant:** Colours 'N Motion
- **Product Code:** [IOR](/productcode/IOR.md)
- **Decision Date:** May 1, 2003
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 890.3850
- **Device Class:** Class 1
- **Review Panel:** Physical Medicine

## Device Story

Mechanical wheelchairs "CHUMP" and "KRYPTO" are manual mobility devices designed for individuals requiring assistance with ambulation. Operated by the user or an attendant, these devices provide mobility support. The design incorporates fire-retardant fabrics tested to ISO 7176 and California specification 117 standards. The device functions as a standard mechanical wheelchair to facilitate patient transport and independence.

## Clinical Evidence

Bench testing only. Fire retardant testing was performed at the Swedish Handicapped Institute according to I.S.O. 7176 standards.

## Technological Characteristics

Mechanical wheelchair; materials include fire-retardant fabric compliant with California specification 117; testing performed per I.S.O. 7176 under ISO 9000/9001 quality management systems.

## Regulatory 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.

## Submission Summary (Full Text)

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DEPARTMENT OF HEALTH & HUMAN SERVICES

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Public Health Service

MAY - 1 2003

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Victor R. Box Quality Assurance Colours 'N Motion, Inc. 1591 South Sinclair Street Anaheim, CA 92806

Re: K030017

Trade/Device Name: Mechanical Wheelchair "CHUMP", "KRYPTO" Regulation Number: 21 CFR 890.3850 Regulation Name: Mechanical wheelchair Regulatory Class: I Product Code: IOR Dated: April 21, 2003 Received: April 22, 2003

Dear Mr. Box:

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 - Mr. Victor R. Box

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 Office of Compliance at (301) 594-4659. 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 (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely vours.

Mark A. Milliman

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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K030017 510(k) Number (if known):

Mechanical Wheelchair "CHUMP", "KRYPTO" Device Name:

Fire Retardant:

Fire retardant test accomplished at Swedish Handicapped Institute to I.S.O. 7176 under umbrella of ISO 9000/9001. Documentation is available on request. Note: Colours N Motion, Inc. uses the same identical fabric on all wheelchair models.

All fabric is in accordance to California specification 117

Victor R. Bay
4-21-03

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

Concurrence of CDRH, Office of Device Evalua

Mark N Mikkelsen
Division Sign Off

Di ision of General, Restorative and Neurological Devices

510(k) Number K030017

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use

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**Source:** [https://fda-staging.innolitics.com/device/K030017](https://fda-staging.innolitics.com/device/K030017)

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