K Number
K961405
Device Name
ALBA HEALTH PAS WRAP SYSTEM
Date Cleared
1996-12-26

(259 days)

Product Code
Regulation Number
870.5800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The indications for use and the contraindication are listed separately in this application.
Device Description
The PAS Wrap System is composed of two leg wrap members constructed of an inflatable bladder enclosed in a fabric cover with an outside surface that will accept a Velcro fastener hook strip. Extending from one side of this enclosed bladder is an elastic fabric cut to conform to the shape of the calf area of the leg. This fabric is wrapped around the back of the calf and is attached to the other side of the bladder with a Velcro fastener. The Velcro fastener allows for a tight fit on various size legs. The inflation pump is attached to the bladders and is energized. The bladder on each leg is alternately inflated and deflated to yield approximately 65mm Hg pressure on the calf area of the leg. This pressure causes pooled blood to be expelled from the calf and to proceed toward the heart. This helps to prevent embolisms from forming in the calf area.
More Information

Not Found

No
The device description focuses on mechanical inflation and deflation of leg wraps, and there is no mention of AI, ML, or related concepts in the provided text.

Yes
The device is described as aiding in the prevention of embolisms by expelling pooled blood, which indicates a therapeutic purpose. Additionally, the predicate device names like "Athrombic Pump System" and "Pulsatile Anti-Embolism System" further support its therapeutic intent.

No
The device description clearly states its mechanical function of inflating and deflating bladders to apply pressure to the calf area, which helps to prevent embolisms. There is no mention of it collecting data, analyzing patient conditions, or providing diagnostic information. Its purpose is therapeutic/prophylactic rather than diagnostic.

No

The device description clearly outlines physical components like inflatable bladders, fabric covers, Velcro fasteners, and an inflation pump, indicating it is a hardware-based medical device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description: The description clearly states that the PAS Wrap System is a mechanical device that applies pressure to the calf area of the leg to prevent blood clots. It does not involve the analysis of any biological samples.
  • Intended Use: The intended use is to prevent embolisms by mechanically aiding blood flow, not by analyzing biological markers.

Therefore, the PAS Wrap System falls under the category of a therapeutic or preventative medical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The indications for use and the contraindication are listed separately in this application.

Product codes

Not Found

Device Description

The PAS Wrap System is composed of two leg wrap members constructed of an inflatable bladder enclosed in a fabric cover with an outside surface that will accept a Velcro fastener hook strip. Extending from one side of this enclosed bladder is an elastic fabric cut to conform to the shape of the calf area of the leg. This fabric is wrapped around the back of the calf and is attached to the other side of the bladder with a Velcro fastener. The Velcro fastener allows for a tight fit on various size legs. The inflation pump is attached to the bladders and is energized. The bladder on each leg is alternately inflated and deflated to yield approximately 65mm Hg pressure on the calf area of the leg. This pressure causes pooled blood to be expelled from the calf and to proceed toward the heart. This helps to prevent embolisms from forming in the calf area.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

calf area of the leg

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Following is a summary of articles showing the benefits of this device and also MDR's and adverse experience reports.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

Jobst Athrombic Pump System 2000

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.5800 Compressible limb sleeve.

(a)
Identification. A compressible limb sleeve is a device that is used to prevent pooling of blood in a limb by inflating periodically a sleeve around the limb.(b)
Classification. Class II (performance standards).

0

Y961403

DEC 2 6 1996

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

ALBA-WALDENSIAN, INC.

201 St. Germain Avenue, S.W. Valdese. NC 28690

Telephone: 704-879-6500 Fax: 704-879-6595

Contact Person: Victor H. Garrou

Date Prepared: March 22, 1996

The following is a summary of Safety and Effectiveness for the albahealth PAS Wrap System.

The PAS Wrap System is composed of two leg wrap members constructed of an inflatable bladder enclosed in a fabric cover with an outside surface that will accept a Velcro fastener hook strip. Extending from one side of this enclosed bladder is an elastic fabric cut to conform to the shape of the calf area of the leg. This fabric is wrapped around the back of the calf and is attached to the other side of the bladder with a Velcro fastener. The Velcro fastener allows for a tight fit on various size legs. The inflation pump is attached to the bladders and is energized. The bladder on each leg is alternately inflated and deflated to yield approximately 65mm Hg pressure on the calf area of the leg. This pressure causes pooled blood to be expelled from the calf and to proceed toward the heart. This helps to prevent embolisms from forming in the calf area.

The albahealth PAS Wrap System is applied to the leg in the same manner as the Jobst Athrombic Pump System 2000. It uses the albahealth Pulsatile Anti-Embolism System pump to supply the pressure to the calf of the leg at the same values as the PAS-Pulsatile Anti-Embolism System. The indications for use and the contraindication are listed separately in this application.

Following is a summary of articles showing the benefits of this device and also MDR's and adverse experience reports.

HEALTH PRODUCTS Division of Alba Waldensian, Inc 201 St. Germain Avenue Valdese, NC 28690 704-879-6500 Fax 704-879-6595