K972046 · Gillen Industries · FMQ · Aug 15, 1997 · General Hospital
Device Facts
Record ID
K972046
Device Name
FULL BODY RESTRAINT SYSTEM
Applicant
Gillen Industries
Product Code
FMQ · General Hospital
Decision Date
Aug 15, 1997
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 880.6760
Device Class
Class 1
Intended Use
to protect patient from injury or injury to others.
Device Story
Full Body Restraint System; used to secure patients to prevent injury to self or others. Device functions as a physical barrier/restraint mechanism. Operated by healthcare personnel in clinical settings. Output is physical immobilization of patient. Benefits include enhanced patient and staff safety in acute care or behavioral health environments.
Clinical Evidence
No clinical data provided; device is a Class I physical restraint system.
Technological Characteristics
Physical restraint system; mechanical construction; no electronic components, software, or energy sources.
Indications for Use
Indicated for patients requiring physical restraint to prevent self-injury or injury to others.
Regulatory Classification
Identification
A protective restraint is a device, including but not limited to a wristlet, anklet, vest, mitt, straight jacket, body/limb holder, or other type of strap, that is intended for medical purposes and that limits the patient's movements to the extent necessary for treatment, examination, or protection of the patient or others.
K963478 — SLEEVED/SLEEVELESS VEST RESTRAINT · Deroyal Industries, Inc. · Nov 14, 1996
K963470 — CRISS-CROSS VEST RESTRAINT · Deroyal Industries, Inc. · Nov 14, 1996
K963410 — POSEY STRAIGHT JACKETS · J. T. Posey Co. · Nov 22, 1996
Submission Summary (Full Text)
{0}------------------------------------------------
Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized symbol featuring three human profiles facing to the right, with flowing lines suggesting movement or progress.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Mr. John Gillen President Gillen Industries One Richmond Square Providence, Rhode Island 02906
AUG 1 5 1997
Re: K972046 Full Body Restraint System Trade Name: Regulatory Class: I Product Code: FMO Dated: May 27, 1997 Received: June 2, 1997
Dear Mr. Gillen:
We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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, Druq, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act 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 (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice reguirement, as set forth in the Quality System Requlation (QS) for Medical Devices: General requlation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in requlatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you miqht have under sections 531
{1}------------------------------------------------
Page 2 - Mr. Gillen
through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.
This letter will allow you to begin marketing your device as described in your_510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally 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 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to
premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".
Sincerely yours,
W. C. Lilatoush.
ky A. Ulatowski Time Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{2}------------------------------------------------
510(k) Number (if known):
Full Body Restraint System Device Name: __
Indications For Use:
New to protect patient from injury or injury to others.
(PLEASE DO NOT WRITE BELOW THIS LINE -
CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off) Brenda Bolder for PC
Division of Dentel, Infection Control,
and General Hoepita! Devices
(k) Number K962046
Prescription Use (Per 21 CFR 801.109)
OK
Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________
(Optional Format 1-2-96)
Panel 1
/
Sort by
Ready
Predicate graph will load when search results are available.
Embedding visualization will load when search results are available.
PDF viewer will load when search results are available.
Loading panels...
Select an item from Submissions
Click any panel, subpart, regulation, product code, or device to see details here.
Section Matches
Results will appear here.
Product Code Matches
Results will appear here.
Special Control Matches
Results will appear here.
Loading collections...
Loading
My Alerts
You will receive email notifications based on the filters and frequency you set for each alert.