K Number
K962788
Device Name
CLINIDYNE ROTATIONAL THERAPY MATTRESS SYSTEM
Date Cleared
1997-04-30

(287 days)

Product Code
Regulation Number
890.5225
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CLINI-DYNE rotational/low air loss system is a patient rotation, pressure relieving support system used for the treatment and prevention of decubitus ulcers, urinary tract blockage, to aid circulation and for complications associated with immobility.
Device Description
The CLINI-DYNE Rotational Therapy System consists of an electromechanical inflation pump control unit which is connected to a mattress with cells (air filled bladders) through hose assemblies connected to the inflation pump. The system affords programmed patient position changes by gently turning the patient from supine to left side or right side and back to supine position when staff is unable to do so or needs assistance.
More Information

CLA 1400 System

Not Found

No
The description focuses on electromechanical control and programmed position changes, with no mention of AI/ML terms or data-driven learning.

Yes
The "Intended Use / Indications for Use" section explicitly states that the system is "used for the treatment and prevention of decubitus ulcers, urinary tract blockage, to aid circulation and for complications associated with immobility." These are therapeutic purposes.

No

Explanation: The device description clearly states its purpose is for treatment and prevention of decubitus ulcers and other immobility complications by providing positional changes and pressure relief. There is no mention of it being used to diagnose any disease or condition.

No

The device description explicitly states it consists of an "electromechanical inflation pump control unit" and a "mattress with cells (air filled bladders)," which are hardware components.

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

Here's why:

  • Intended Use: The intended use describes a system for patient rotation and pressure relief to treat and prevent conditions like decubitus ulcers and aid circulation. This is a therapeutic and preventative function applied directly to the patient's body.
  • Device Description: The device description details an electromechanical system with an inflation pump and mattress cells that physically manipulate the patient's position. This is a mechanical device for patient support and movement.
  • Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. The provided information does not mention any testing of biological samples.

Therefore, the CLINI-DYNE rotational/low air loss system is a therapeutic and supportive medical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The CLINI-DYNE rotational/low air loss system is a patient rotation, pressure relieving support system used for the treatment and prevention of decubitus ulcers, urinary tract blockage, to aid circulation and for complications associated with immobility.

Product codes

Not Found

Device Description

The CLINI-DYNE Rotational Therapy System consists of an electromechanical inflation pump control unit which is connected to a mattress with cells (air filled bladders) through hose assemblies connected to the inflation pump. The system affords programmed patient position changes by gently turning the patient from supine to left side or right side and back to supine position when staff is 10 CENTRE DRIVE ORCHARD PARK, NY 14127 unable to do so or needs assistance.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Acute care and alternate care settings

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)

Safety Testing Comparison Table:
Biocompatibility: a) primary skin irritation (pass), b) delayed contact sensitization (pass), c) cytotoxicity (pass)
Tissue Interface Testing (pass)
Flammability (pass)
UL Approvals: UL 544 (CLA 1400), UL 2601-1 (CLD 1000 - pending)
Alerts: a) hi/low pressure (yes), b) out of range (yes)

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

Not Found

Predicate Device(s)

CLA 1400 System

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 890.5225 Powered patient rotation bed.

(a)
Identification. A powered patient rotation bed is a device that turns a patient who is restricted to a reclining position. It is intended for medical purposes to treat or prevent bedsores, to treat severe and extensive burns, urinary tract blockage, and to aid circulation.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 890.9.

0

Image /page/0/Picture/1 description: The image shows the word "GAYMAR" in bold, black letters. The letters are sans-serif and appear to be a standard font. To the right of the word, there is a small circle with an R inside, indicating a registered trademark.

GAYMAR INDUSTRIES, INC.

APR 30 1997 K962788

Premarket Notification [510(K)] Summary

Submitter:Peter Scott
Phone:716/662-2551, ext. 676
FAX:716/662-8763
Date Summary
Prepared:January 30, 1997
Device Name:CLINI-DYNE Rotational Therapy System
Common Name:Rotation/Low Air Loss System
Classification Name:Alternating Pressure Air Flotation Mattress per
21 CFR, Section 880.5550
Predicate Device:CLA 1400 System

Intended use of Device:

The CLINI-DYNE rotational/low air loss system is a patient rotation, pressure relieving support system used for the treatment and prevention of decubitus ulcers, urinary tract blockage, to aid circulation and for complications associated with immobility.

Description: The CLINI-DYNE Rotational Therapy System consists of an electromechanical inflation pump control unit which is connected to a mattress with cells (air filled bladders) through hose assemblies connected to the inflation pump. The system affords programmed patient position changes by gently turning the patient from supine to left side or right side and back to supine position when staff is 10 CENTRE DRIVE ORCHARD PARK, NY 14127 unable to do so or needs assistance.

(716) 662-2551 / (800) 828-7341 FAX #: (716) 662-6120

1

Substantial Equivalence:

The following tables, CLINI-DYNE substantial equivalence matrix and the safety testing comparison table, summarize the technological characteristics and the nonclinical performance data upon which the substantial equivalence submission was made to the Food and Drug Administration.

2

CLINI-DYNE SUBSTANTIAL EQUIVALENCE MATRIX

7/11/96

ి లేదా పెళ్ళి
మూలాలు
మూలాలు
మూలాలు
మూలాలు

| | CLA-1400
(Predicate) | CLD-1000 |
|---------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|
| PERFORMANCE | | |
| Patient Support Surface | Overlay
Blower | Mattress
Electro-mechanical reciprocating
pump |
| Air Source | | |
| Pressure control
mechanism | Microprocessor controlled
pressure relief valve | Microprocessor controlled
pressure relief valve |
| Voltage | 120v 60Hz Nominal | 120v 60Hz Nominal |
| Ambient | 60-90°F | 60-90°F |
| Tissue interface pressure
measurements | Pressure relief | Pressure relief |
| Rotation angle | 0-45° | 0-40° ** |
| Safety | | |
| Maximum allowable
pressure controlled by | Mechanical relief valve (55-60
mmHg) | Mechanical relief valve (56 mmHg) |
| CPR Deflate mechanism | Quick-disconnect feature of hose
from pump | Remove panel at mattress |
| Physical
characteristics | | |
| Construction (Patient
support surface) | Air filled cells used as an overlay | Air filled cells contained in a foam
crib used as a mattress |
| Function &
Intended uses | | |
| Type of therapy provided | Treatment of the diseases of
immobility and treatment of
pressure ulcers | Treatment of the diseases of
immobility and treatment of
pressure ulcers |
| (Primary) Target
population | Acute care and alternate care
settings | Acute care and alternate care
settings |
| Life Expectancy (pump) | Reusable* | Reusable* |
| Life Expectancy (cell) | Resusable* | Reusable* |
| Product Labeling | Refer to TAB C - LABELING | Refer to TAB B - LABELING |
| Approvals | UI 544 | UL 2601-1 (submitted) |

  • Cleanable using suggested disinfectants and cleaning agents.

** Dependent on physical characteristics of the patient. (40° minimum when set at maximum angle setting for each patient.)

3

COMPARISON OF MAJOR CHARACTERISTICS

Characteristic

CLA-1400 (PREDICATE)

Cl

CLD-1000

Alerts
Audible Alertsyesyes
Alert Silence (minutes)30no
Head of Bed Elevation Alertyesno*
Out of Rotation Alertyesno*
Siderail UP/Down Alertyesno*
Visual Alertsyesyes

Rotation

Automatic Left Onlyyesyes
Automatic Left to Rightyesyes
Automatic Right Onlyyesyes
Center Only (no rotation)yesyes
Manual Left Onlyyesyes
Manual Right Onlyyesyes
Var.Angle, Min.range (degrees)0-450-45
Variable Rateyesyes
Rotation Cycle Times (minutes)90, 30, 10, 260, 45, 30, 15

Cushion

Placed onto Hospital Bedyesno (mattress replacement)
CPR Deflateyesyes
Low Air Lossyesyes
Pressure Relievingyesyes
Support Surface Inflation Controlyesyes
Disposable Coversyesno**
Disposable Support Surfaceyesno**
Footboard/Foot Support Cushionyesyes

Air Control Pump

120 Volt ACyesyes
60 Hzyesyes
Amperage1-51
Control Panel Lock-outyesyes
Microprocessor Controlyesyes
U.L. Listedyesyes
Weight (lbs.)2519
  • See Substantial Equivalence

**Reusable mattress

4

VI. SAFETY SUMMARY

Safety Testing Comparison Table

CLA 1400CLD 1000
Biocompatibility
a) primary skin irritationpasspass
b) delayed contact sensitizationpasspass
c) cytotoxicitypasspass
Tissue Interface Testingpasspass
Flammabilitypasspass
UL ApprovalsUL 544UL 2601-1
(pending)

Alerts

a)hi/low pressureyesyes
b)out of rangeyesyes