TEST REPORT

Product Name: Manually Propelled Wheelchair

Testing Type: Sample Testing

FoShan DongFang Medical Equipment Manufactory LTD

Quality Control Department

Test Report No.: DFT 071011 Page 1 of 4

TEST REPORT

of the requirements EN 12183

Manually propelled wheelchairs - Requirements and test methods

Report reference No: DFT 071011

Tested by (name+signature): Zheng Fanchun ………………………………..

Approved by (name+signature) : Edwin Zhao ………………………………...

Date of issue: Octo 7th,2015

Testing laboratory: Foshan Dongfang Medical Equipment Manufactory (Ltd.) Test Center

Address: 5 Xingfu RD.,Zone A,Shishan industrial park,Nanhai district,Foshan city,P.R. China

Applicant : Foshan Dongfang Medical Equipment Manufactory (Ltd.)

Address: 5 Xingfu RD.,Zone A,Shishan industrial park,Nanhai district,Foshan city,P.R. China

Standard EN 12183:1999 (including ISO 7176-8 relevant requirement)

This publication may be reproduced in whole or in part for non-commercial purposes as long as

the IECEE is acknowledged as copyright owner and source of the material. IECEE takes no

responsibility for and will not assume liability for damages resulting from the reader's

interpretation of the reproduced material due to its placement and context.

Test item description : Manually Propelled Wheelchair

Trade Mark: FS

Manufacturer: Same as applicant

Address: Same as applicant

Model/Type reference: FS909

Possible test case verdicts:

- test case does not apply to the test object: N(.A.)

- test object does meet the requirement: P(ass)

- test object does not meet the requirement: F(ail)

Test Report No.: DFT 071011 Page 2 of 4

EN 12183

Clause Requirement Test Result Remark

Verdict

5. GENERAL REQUIREMENTS

Must conform to the requirements of EN 12182 below

Risk analysis

The R&D department provide the risk

analysis report P

Indented performance and technical

documentation User manual checked P

Clinical evaluation

Excluded in this report

P

Aids that can be dismantled P

Single use fasteners P

Biocompatibility and toxicity

The biocompatibility toxicity is consider

accepted P

Contaminants and residues No such material N

Infection and microbiological contamination No such material N

Overflow, spillage, leakage and ingress of liquids No such material N

Safety of moving parts P

Prevention of traps for parts of human body P

Folding and adjustment mechanism P

Surface, corners, edge Round surface, corners and edge P

6. DESIGN REQUIREMENTS

6.1 Footrest and leg rests P

6.1.1 Requirements for foot rests and leg rests P

The wheelchair shall be capable of being fitted

with a means for preventing the user’s feet from

sliding backwards

A Velcro strap is provided to prevent the

user’s feet from sliding backwards

P

foot rests / leg rests can be located securely in

each position

The adjustable footrests are fixed scurely

by screws P

Footrests / leg rests have increment adjustments

< 25 mm Less than 25 mm P

Gap between separate footrests < 35 mm (< 25

mm, kids) or Less than 25 mm P

footrests prevent user's feet from sliding into the

gap P

6.2 Pneumatic tires P

All tires have identical valve connections P

6.3 Fitting of seat belts P

lt is possible to fit seat belts Seat belt provided P

6.4 Armrests and backrests P

Armrests / backrests can be located securely in

each position Backrests/Armrests can not be adjusted P

Test Report No.: DFT 071011 Page 3 of 4

EN 12183

Clause Requirement Test Result Remark

Verdict

6.5 Requirements for wheelchairs intended for use as

seat in motor vehicles,manufacturer s information

shall

N

Identify wheelchair tiedown system(s)

Not intended for use as seats in motor

vehicles N

The occupant restraint system(s) and N

The attachment points on the aid N

6.6 Brakes P

6.6.1 Requirements for braking systems p

The wheelchair shall be fitted with a parking brake P

The parking brakes shall have provision for

adjustment to compensate for any wear to any

friction surfaces,tyres etc. that have worn to the

point of replacement

p

6.6.2 Requirements for service brakes N

The wheelchair has a propulsion system that does

not include provision to stop the wheelchair, a

service brake shall be fitted

N

6.7 Requirement for component weight P

a) any component that has a mass greater than

10 kg, shall be provided with suitable handling

devices (e.g. Handles), or

P

b) the user manual shall indicate the points where

the component part can be lifted safely and/or a

method for handling during assembly is described

Stated in manual P

6.8 Requirement for the fitting of anti-tip devices

The minimun rearward static stability as measured

by the method specified in ISO 7176-1 is less than

10 degree,there shall be provision for fitting anti-tip

devices

The minimun rearward static stability as

measured is more than 10 degree N

Anti-tip devices shall not move frome their preset

position when engaged by the loaded wheelchair N

7 PERFORMANCE REQUIREMENTS

7.1 Static, impact and fatigue strength P

7.1.1 The wheelchair fulfilled the requirements specified

in ISO 7176-8, (class A wheelchairs are excluded

from the drop test, 10.5 of ISO7176-8)

P

static strength test P

impact strength test P

Test Report No.: DFT 071011 Page 4 of 4

EN 12183

Clause Requirement Test Result Remark

Verdict

End of this report

fatigue test P

two-drum-test

speed = 1.0 m/s,

slats = 12 mm,

duty cycles = 200 000 (total)

P

drop-test

drop freely = 50 mm on to the rigid horizontal

plane,

duty cycles = 6 666

P

7.2 Parking brake performance and strength P

7.2.1 Requirements for performance of parking brakes P

Operating forces of parking brakes do not exceed

Refer to ISO 7176-3 P

a) 60 N (hand operated brakes) P

b) 100 N (foot push operated brakes) N

c) 60 N (foot pull operated brakes) N

7.2.2 fatigue strength of manually operated parking

brakes P

The wheelchair has been tested as specified

in ISO 7176-8 P

The parking brake was pressed 60 000 times (f <

0,5 Hz) P

The wheelchair shall not slide nor the wheels

rotate after the fatigue strength test,up / down the

slope of.Refer to ISO 7176-3

P

7.4 Resistance to corrosion P

7.5 Pushing force P

7.5.1 Requirement for pushing force

The pushing force required to start and keep the

loaded wheelchair moving at constant speed on a

horizontal surface shall not exceed 40N.

Less than 40N. P

7.6 Tracking characteristic P

7.1.1 Requirement for trackiing characteristics P

The deviation of the wheelchair from the straight

tracking line shall not be more than 500mm. P