K Number
K962839
Device Name
HEELBO QUILTED LIMB HOLDER WITH BUCKLE AND STRAP
Manufacturer
Date Cleared
1996-10-18

(88 days)

Product Code
Regulation Number
880.6760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Heelbo Quilted Limb Holder with Buckle and Strap is intended to be a protective limb restraint that limits the patient's movement to the extent necessary for treatment, examination, or protection of the patient or others. The device can be used in the supine or sitting positions.
Device Description
The Heelbo Quilted Limb Holder with Buckle and Strap is a quilted limb holder with a Velcro® fastener, buckle and straps that secure to a bed, gurney, chair or wheelchair. The Heelbo Quilted Limb Holder with Buckle and Strap is intended to be a protective limb restraint that limits the patient's movement to the extent necessary for treatment, examination, or protection of the patient or others. The adjustable buckle allows for supine and sitting positions. The Heelbo Quilted Limb Holder is machine washable.
More Information

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Not Found

No
The device description and intended use describe a physical restraint device with no mention of software, algorithms, or any technology that would suggest AI/ML. The "Mentions AI, DNN, or ML" field is also explicitly marked as "Not Found".

No
Explanation: This device is described as a protective limb restraint used to limit patient movement for safety or treatment purposes, rather than directly providing therapy to treat a medical condition.

No
Explanation: The device is described as a protective limb restraint that limits patient movement for treatment, examination, or protection. It does not perform any diagnostic function such as identifying, assessing, or monitoring a disease or condition.

No

The device description clearly states it is a physical product made of quilted material with a Velcro fastener, buckle, and straps, which are hardware components.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to provide information about a person's health.
  • Device Function: The Heelbo Quilted Limb Holder with Buckle and Strap is a physical restraint device. Its function is to limit a patient's movement for safety and treatment purposes. It does not perform any tests on biological samples.
  • Intended Use: The intended use clearly states it's a "protective limb restraint that limits the patient's movement." This is a physical function, not a diagnostic one.

Therefore, based on the provided information, the Heelbo Quilted Limb Holder with Buckle and Strap is not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Heelbo Quilted Limb Holder with Buckle and Strap is intended to be a protective limb restraint that limits the patient's movement to the extent necessary for treatment, examination, or protection of the patient or others. The device can be used in the supine or sitting positions.

Product codes

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Device Description

The Heelbo Quilted Limb Holder with Buckle and Strap is a quilted limb holder with a Velcro® fastener, buckle and straps that secure to a bed, gurney, chair or wheelchair. The Heelbo Quilted Limb Holder with Buckle and Strap is intended to be a protective limb restraint that limits the patient's movement to the extent necessary for treatment, examination, or protection of the patient or others. The adjustable buckle allows for supine and sitting positions. The Heelbo Quilted Limb Holder is machine washable.

The Heelbo Quilted Limb Holder with Buckle and Strap is available in the following sizes:
Stock No. 9300 Small-Regular / cuff size: 11 1/2" long strap: 3/4" wide, 60" long
Stock No. 9310 Large-XL / cuff size: 13 1/2" long strap: 3/4" wide, 60" long

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

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

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

Not Found

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

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Predicate Device(s)

Heelbo Quilted Limb Holder with Buckle and Strap

Reference Device(s)

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Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.6760 Protective restraint.

(a)
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.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 880.9.

0

Image /page/0/Picture/0 description: The image shows the text "Heelbo, Inc." in a bold, sans-serif font. The text is black and appears to be the name of a company or organization. The comma after "Heelbo" and the period after "Inc." are clearly visible.

1134 N. Homan Ave. Chicago. IL 60651 312/489-7711

Telex RCA 297-248 800/323-5444 Fax 312/489-7744

K962839

OCT 18 1996

Heelbo, Inc. Heelbo Quilted Limb Holder with Buckle and Strap

Safety and Effectiveness Summary

1. Submitter's name, Address and Contact Person

Submitter Heelbo, Inc. 1134 N. Homan Ave. Chicago, IL 60651

Contact Person Joseph S. Tokarz; Manager, Regulatory Affairs Hollister Incorporated 2000 Hollister Drive Libertyville, IL 60048 (847)680-2849, Fax: (847)918-3860 Ph:

Date Summary Prepared - July 17, 1996

2. Name of Device:

Heelbo Quilted Limb Holder with Buckle and Strap

3. Name of Predicate Device(s)

Heelbo Quilted Limb Holder with Buckle and Strap

4. Description of Device

The Heelbo Quilted Limb Holder with Buckle and Strap is a quilted limb holder with a Velcro® fastener, buckle and straps that secure to a bed, gurney, chair or wheelchair. The Heelbo Quilted Limb Holder with Buckle and Strap is intended to be a protective limb restraint that limits the patient's movement to the extent necessary for treatment, examination, or protection of the patient or others. The adjustable buckle allows for supine and sitting positions. The Heelbo Quilted Limb Holder is machine washable.

The Heelbo Quilted Limb Holder with Buckle and Strap is available in the following sizes:

Stock No. 9300

Small-Regular / cuff size: 11 1/2" long strap: 3/4" wide, 60" long

Stock No. 9310 Large-XL / cuff size: 13 1/2" long strap: 3/4" wide, 60" long

5. Statement of Intended Use

Heelbo Quilted Limb Holder with Buckle and Strap is intended to be a protective limb restraint that limits the patient's movement to the extent necessary for treatment, examination, or protection of the patient or others. The device can be used in the supine or sitting positions. **

1

Image /page/1/Picture/0 description: The image shows the text "Heelbo, Inc." in a bold, sans-serif font. The text is black and appears to be the name of a company. The word "Heelbo" is followed by a comma, and then "Inc." is written after the comma.

1134 N. Homan Ave. Chicago, IL 60651 312/489-7711

Telex RCA 297-248 800/323-5444 Fax 312/489-7744

Heelbo, Inc. Heelbo Ouilted Limb Holder with Buckle and Strap

6. Statement of Technological Characteristics of the Device

Heelbo Quilted Limb Holder with Buckle and Strap is a quilted limb holder with a Velcro® fastener, buckle and straps that secure to a bed, gurney, chair or wheelchair. The Heelbo Ouilted Limb Holder with Buckle and Strap is intended to be a protective limb restraint that limits the patient's movement to the extent necessary for treatment, examination, or protection of the patient or others. The adjustable buckle allows for supine and sitting positions. The Heelbo Quilted Limb Holder is machine washable.

The subject devices are identical in intended use, design, materials, manufacturing process, physical and mechanical specifications and issues of safety and effectiveness to the devices prior to the submission of this notification. The only difference is that the product labeling has been revised to comply with the Agency's labeling requirements set forth in the draft "Guidance on the Content of Premarket Notification [501(k)] Submissions for Protective Restraints" dated December 1995.

7. Biocompatibility Assessment

The subject devices are identical in component materials to the predicate devices. The suppliers of the materials use in the fabrication of these devices have stated that there is a history of safe use of their materials in the clothing and garment industry. In addition, Heelbo, Inc., is not aware of any reports or complaints of skin irritation associated with these materials.

8. Conclusion

Based upon the information presented above it is concluded that the proposed Heelbo Quilted Limb Holder with Buckle and Strap are safe and effective for their intended use and are substantially equivalent to the predicate device.