A successful design effort will have implications in the larger societal and technological context. First, the design will impact the health, welfare, and safety of manual wheelchair users. Safety is a top priority for the device. This device will provide a safe alternative to manual and motorized wheelchair usage and is a major factor in design considerations. Also, in terms of the overall welfare of users, the device will provide increased accessibility and maneuverability for wheelchair users allowing them to overcome barriers created by inaccessibility or challenges when ascending or descending inclines in a wheelchair. The health of stakeholders and wheelchair users is also impacted by the increased ability for people who use wheelchairs to participate and engage in activities requiring ascending or descending inclines or declines, respectively. This medical device positively impacts the health of users because it allows for users to engage their bodies physically depending on the effort setting they have requested from the device. Similarly, increased accessibility and ability to engage as a person who uses wheelchairs has positive social implications for users. Eliminating or mitigating challenges associated with traversing inclines and declines for a person who uses wheelchairs helps remove social barriers created by accessibility challenges. Lastly, economically this device will provide an affordable alternative to current wheelchair add-ons. This will provide an opportunity for greater access to the product and the assistance it provides.