WHEELCHAIR BELT

K963479 · Deroyal Industries, Inc. · KID · Jan 24, 1997 · Physical Medicine

Device Facts

Record IDK963479
Device NameWHEELCHAIR BELT
ApplicantDeroyal Industries, Inc.
Product CodeKID · Physical Medicine
Decision DateJan 24, 1997
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 890.3910
Device ClassClass 1

Intended Use

The DeRoyal Industries, Inc. Wheelchair Belt is indicated for use, at the discretion of a responsible licensed healthcare professional, to limit patient movements thereby enabling examination or protection of the patient or others. The DeRoyal Industries, Inc. Wheelchair Belt is intended to be used with a wheelchair only.

Device Story

Protective restraint device; limits patient movement in wheelchairs to prevent sliding; aids in patient examination or protection. Comprised of nylon or polyester seat belt webbing with blue purr and foam rubber padding; utilizes hook and loop or buckle fasteners. Used in clinical or care settings; operated by healthcare professionals. Prescribed by physicians; intended for patients prone to sliding. Benefits include patient safety and stability during wheelchair use.

Clinical Evidence

Bench testing only; no clinical data provided.

Technological Characteristics

Materials: nylon or polyester seat belt webbing, blue purr, foam rubber. Fasteners: hook and loop or buckle. Form factor: universal size. Energy source: none (mechanical).

Indications for Use

Indicated for patients in wheelchairs requiring movement limitation for examination or protection, at the discretion of a licensed healthcare professional.

Regulatory Classification

Identification

A wheelchair accessory is a device intended for medical purposes that is sold separately from a wheelchair and is intended to meet the specific needs of a patient who uses a wheelchair. Examples of wheelchair accessories include but are not limited to the following: armboard, lapboard, pusher cuff, crutch and cane holder, overhead suspension sling, head and trunk support, and blanket and leg rest strap.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0} JAN 24 1997 DeRoyal Industries, Inc. Wheelchair Belt 510(k) Summary K963479 SUMMARY OF THE SAFETY AND EFFECTIVENESS INFORMATION UPON WHICH AN EQUIVALENCE DETERMINATION COULD BE BASED SUBMITTER INFORMATION NAME: DeRoyal Industries, Inc. ADDRESS: 200 DeBusk Lane Powell, TN 37849 TELEPHONE: (423) 938-7828 CONTACT: Camille Matlock DATE OF PREPARATION: August 30, 1996 DEVICE NAMES NAME: DeRoyal Industries, Inc. Wheelchair Belt COMMON/USUAL NAME: Wheelchair Belt CLASSIFICATION NAME (if known): Restraint, Protective (80FMQ) PREDICATE OR LEGALLY MARKETED DEVICES J.T. Posey Company DeRoyal Industries, Inc. DEVICE DESCRIPTION The DeRoyal Industries, Inc. Wheelchair Belt is a protective restraint device that is intended for medical purposes to limit patient movements thereby helping prevent the patient from sliding in a wheelchair. Device Design/Materials Used/Physical Properties: The DeRoyal Wheelchair Belt is designed similar to those marketed by other manufacturers. The Wheelchair Belt is primarily comprised of nylon or polyester seat belt webbing. DEVICE INTENDED USE The DeRoyal Industries, Inc. Wheelchair Belt is indicated for use, at the discretion of a responsible licensed healthcare professional, to limit patient movements thereby enabling examination or protection of the patient or others. The DeRoyal Industries, Inc. Wheelchair Belt is intended to be used with a wheelchair only. TECHNOLOGICAL COMPARISON WITH PREDICATE OR LEGALLY MARKETED DEVICE(S) | Characteristic | DeRoyal Device | Other Devices | | --- | --- | --- | | Materials | Primarily comprised of nylon or polyester seat belt webbing. Materials also include blue purr and foam rubber for soft padding. Fasteners are either a hook and loop or a buckle. | Same | | Size | Universal | Same | | Vehicles for Attachment | Wheelchair | Same | | Length of use | Doctor must prescribe every 24 hours | Same | | Level of Patient Activity | For patients that tend to slide in their chairs | Same |
Innolitics
510(k) Summary
Decision Summary
Classification Order
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