LIFT CHAIR, MODEL C5

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image shows the logo for Pride Mobility Products Corp. The word "Pride" is written in a bold, sans-serif font, with a horizontal line running through the middle of the letters. Below the word "Pride", the words "Mobility Products Corp." are written in a smaller, sans-serif font. The logo is black and white. Research & Development 182 Susquehanna Ave Exeter, PA 18643 570-655-5574 FAX 655-2990 www.pridemobility.com K070950 Exhibit 1 510(k) Summary Pride Mobility Products Corporation C5 Lift Chair #### Submitter's Name & Address: APR 16 2007 Pride Mobility Products Corporation 182 Susquehanna Avenue Exeter, Pa. 18643 Phone: (570) 655-5574 Facsimile: (570) 655-2990 ## Contact Person: Thomas Schappert Official Correspondent Date Prepared: 03-02-07 Name of Device and Proprietary Name: C5 Lift Chair / Pride Mobility Products Corporation ## Common or Usual Name: Electric Lift Chair Classification Name: Electric Positioning Chair per 21 CFR, 890.3110 ## Product Code: INO ## Comparison to Predicate Devices: The C5 Lift Chair is substantially equivalent to the Pride Mobility TMR-48 (K953342) when comparing; Construction, Performance, and Stability. The performance characteristics and positioning of components are similar to achieve the same Intended Use. The differences between the C5 Lift Chair and the TMR-48 are in the construction materials and electronics. {1}------------------------------------------------ Image /page/1/Picture/0 description: The image shows the logo for Pride Mobility Products Corp. The word "Pride" is written in a bold, sans-serif font, with the letters slightly overlapping. Below the word "Pride" is the text "Mobility Products Corp." in a smaller font. The logo is black and white. ### Device Description: The Pride Mobility C5 Lift Chair is an upholstered chair assembly constructed of a welded steel frame, and foam and fabric compliant to Cal 117 Flammability requirements. The chair is assembled to a welded steel lifting frame mechanism having a 24 VDC motor / actuator powered by standard 110 volt AC power from a wall outlet. A Hand Held Switch Control Device engages the actuators to position the chair to a recline, sitting, or standing position. #### Intended Use: The Intended Use of the Pride Mobility C5 Lift Chair is to provide lift assistance for persons who have difficulty rising from a seated position to a standing position. #### Non-Clinical Testing: The Pride Mobility C5 Lift Chair was tested to the following Safety Standards: CAL 117 Sections A, D, & E - Flammability Testing for Upholstered Furniture EN 61000-6-3, and EN 61000-6-1 - Electromagnetic Emissions & Immunity Tests EN60601-1 / A2: 1995 / EN60601-1 / A2: 1995 - Medical Electrical Equipment -General Requirements for Safety # Discussion of Clinical Testing Performed: N/A #### Conclusions: The Pride Mobility C5 Lift Chair has the same intended use and similar technological characteristics as the TMR-48 (K953342), moreover, the non-clinical testing and the predicate comparisons demonstrate that any differences in their technological characteristics do not raise any new questions of safety or effectiveness. Thus, the C5 Lift Chair is substantially equivalent to the predicate device, has passed all the necessary testing procedures, and is considered to be safe for user operation. {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 consists of a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circle around the eagle. The logo is black and white. Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 Pride Mobility Products Corporation % Mr. Thomas Schappert 182 Susquehanna Avenue Exeter, Pennsylvania 18643 APR 16 2007 Re: K070950 Trade/Device Name: C5/Electric Positioning Chair Regulation Number: 21 CFR 890.3110 Regulation Name: Electric positioning chair Regulatory Class: Class II Product Code: INO Dated: March 23, 2007 Received: April 4, 2007 Dear Mr. Schappert: 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. 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 {3}------------------------------------------------ ## Page 2 – Mr. Thomas Schappert 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 (240) 276-0120 . 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html. Sincerely yours, Por Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {4}------------------------------------------------ ## Indications for Use 510(k) Number (if known): K ## Device Name: C5 / Electric Positioning Chair Indications for Use: The Intended Use of the Pride Mobility C5 Lift Chair is to provide lift assistance for persons who have difficulty rising from a seated position to a standing position. Deh (Division Sign-Off) Division of General, Restorative, and Neurological Devices 1670 98 0 510(k) Number_ Prescription Use X AND / OR (Part 21 CFR 801 Subpart D) Over-The-Counter Use X (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) Page 1 of 1