K Number
K963108
Device Name
HEELBO QUILTED TORSO RESTRAINT
Manufacturer
Date Cleared
1996-10-09

(58 days)

Product Code
Regulation Number
880.6760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Heelbo Quilted Torso Restraint is intended to help secure a patient at the torso or legs while lying on a bed or gurney.
Device Description
The Heelbo Quilted Torso Restraint is a reinforced, padded belt 4½ inches wide by 33½ inches long. The Quilted Torso Restraint is designed with polyester webbed strapping that is wrapped around the frame of a bed or gurney and threaded through a drop-jaw buckle to secure the patient at the torso or legs.
More Information

Heelbo Quilted Torso Restraint

Not Found

No
The device description and intended use clearly describe a physical restraint device with no mention of software, data processing, or AI/ML terms.

No
The device is described as a restraint to secure a patient, not to treat a medical condition or ailment.

No
The device is described as a restraint used to secure a patient, not to diagnose a condition or disease.

No

The device description clearly states it is a physical belt made of reinforced, padded material with polyester webbed strapping and a buckle, indicating it is a hardware 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 and Intended Use: The Heelbo Quilted Torso Restraint is a physical restraint device used to secure a patient's torso or legs. It does not involve testing samples from the body.

Therefore, it falls outside the scope of an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Heelbo Quilted Torso Restraint is intended to help secure a patient at the torso or legs while lying on a bed or gurney.

Product codes

Not Found

Device Description

The Heelbo Quilted Torso Restraint is a reinforced, padded belt 4½ inches wide by 33½ inches long. The Quilted Torso Restraint is designed with polyester webbed strapping that is wrapped around the frame of a bed or gurney and threaded through a drop-jaw buckle to secure the patient at the torso or legs.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

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Anatomical Site

torso or legs

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): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Heelbo Quilted Torso Restraint

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

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. 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

K965108

OCT - 9 1996

Heelbo, Inc. Quilted Torso Restraint

Safety and Effectiveness Summary

1. Submitter's name, Address and Contact Person

SubmitterContact Person
Heelbo, Inc.
1134 N. Homan Ave.
Chicago, IL 60651Joseph S. Tokarz; Manager, Regulatory Affairs
Hollister Incorporated
2000 Hollister Drive
Libertyville, IL 60048
Ph: (847)680-2849, Fax: (847)918-3860
Date Summary Prepared - August 8, 1996
  1. Name of Device:

Heelbo Quilted Torso Restraint

3. Name of Predicate Device(s)

Heelbo Quilted Torso Restraint

4. Description of Device

The Heelbo Quilted Torso Restraint is a reinforced, padded belt 4½ inches wide by 33½ inches long. The Quilted Torso Restraint is designed with polyester webbed strapping that is wrapped around the frame of a bed or gurney and threaded through a drop-jaw buckle to secure the patient at the torso or legs.

5. Statement of Intended Use

The Heelbo Quilted Torso Restraint is intended to help secure a patient at the torso or legs while lying on a bed or gurney.

6. Statement of Technological Characteristics of the Device

The Heelbo Quilted Torso Restraint is a reinforced, padded belt 4½ inches wide by 33½ inches long. The Quilted Torso Restraint is designed with polyester webbed strapping that is wrapped around the frame of a bed or gurney and threaded through a drop-iaw buckle to secure the patient at the torso or legs.

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

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 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

and the country of the submit and the subsequence a

Heelbo, Inc. Quilted Torso Restraint

forth in the draft "Guidance on the Content of Premarket Notification [501(k)] Submissions for Protective Restraints" dated December 1995.

7. Biocompatibility

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 Torso Restraint is safe and effective for its intended use and is substantially equivalent to the predicate device.