K Number
K963480

Validate with FDA (Live)

Date Cleared
1997-01-22

(141 days)

Product Code
Regulation Number
890.3910
Age Range
All
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The DeRoyal Industries, Inc. Multi-Purpose Utility Restraint/ Body Holder is indicated for use, at the discretion of a responsible licensed healthcare professional, to limit patient movements thereby enamination or protection of th patient or others. The Multi-Purpose Utility Restraint can be used with an OR table, gurney, bed, or stretcher. The Bod Holder is a protective restraint which can be used with a bed or wheelchair.

Device Description

The DeRoyal Industries, Inc. Multi-Purpose Utility Restraint / Body Holder is a protective restraint device that is intend medical purposes to limit patients thereby enabling examination or protection of the patient or others.

Device Design/Materials Used/Physical Properties: The DeRoyal Multi-Purpose Utility Restraint/ Body Holde designed similar to those marketed by other manufacturers. The Multi-Purpose Utility Restraint Body Holder is prima - comprised of nylon or cotton.

AI/ML Overview

This document is a 510(k) Summary for the DeRoyal Industries, Inc. Multi-Purpose Utility Restraint/Body Holder. It describes a medical device and its intended use, but it does not contain information about acceptance criteria or a study proving the device meets those criteria.

The purpose of a 510(k) Summary is to demonstrate substantial equivalence to a legally marketed predicate device, not to present performance data against specific acceptance criteria. The document lists characteristics of the device and compares them to "Other Devices" (predicate devices), noting they are "Same". This comparison implicitly serves as the "proof" for the 510(k) pathway – that because it is similar to already marketed devices, its safety and effectiveness are established.

Therefore, I cannot provide the requested information from the given text. The input does not contain:

  1. A table of acceptance criteria and reported device performance.
  2. Sample size for test set or data provenance.
  3. Number and qualifications of experts.
  4. Adjudication method for the test set.
  5. MRMC comparative effectiveness study or effect size.
  6. Standalone (algorithm only) performance.
  7. Type of ground truth used.
  8. Sample size for the training set.
  9. How ground truth for the training set was established.

{0}------------------------------------------------

JAN 2 2 1997

Y96934880

DeRoyal Industries, Inc. Multi-Purpose Utility Restraint/ Body Holder

510(k) Summary

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: CONTACT: DATE OF PREPARATION: (423) 938-7828 Camille Matlock August 30, 1996

DEVICE NAMES

NAME: COMMON/USUAL NAME: CLASSIFICATION NAME (if known): DeRoyal Industries, Inc. Multi-Purpose Utility Restraint/ Body Holder Utility Restraint/ Body Holder Restraint, Protective (80FMQ)

PREDICATE OR LEGALLY MARKETED DEVICES

J.T. Posey Company DeRoyal Industries, Inc.

DEVICE DESCRIPTION

The DeRoyal Industries, Inc. Multi-Purpose Utility Restraint / Body Holder is a protective restraint device that is intend medical purposes to limit patients thereby enabling examination or protection of the patient or others.

Device Design/Materials Used/Physical Properties: The DeRoyal Multi-Purpose Utility Restraint/ Body Holde designed similar to those marketed by other manufacturers. The Multi-Purpose Utility Restraint Body Holder is prima - comprised of nylon or cotton.

DEVICE INTENDED USE

The DeRoyal Industries, Inc. Multi-Purpose Utility Restraint/ Body Holder is indicated for use, at the discretion of a responsible licensed healthcare professional, to limit patient movements thereby enamination or protection of th patient or others. The Multi-Purpose Utility Restraint can be used with an OR table, gurney, bed, or stretcher. The Bod Holder is a protective restraint which can be used with a bed or wheelchair.

TECHNOLOGICAL COMPARISON WITH PREDICATE OR LEGALLY MARKETED DEVICE(S)

CharacteristicDeRoyal DeviceOther Devices
MaterialsPrimarily comprised of nylon or cotton.Materials also include blue purr foam, whitebinding, and webbing.Same
SizeUniversalSame
Vehicles forAttachmentBody Holder: Bed or WheelchairMulti-Purpose Utility Restraint: OR Table,Gurney, Bed, or StretcherSame
Length of useDoctor must prescribe every 24 hoursSame
Level of PatientActivityMildly Agitated or DisorientedSurgical PatientPatient TransportSame

N/A