K Number
K963378
Device Name
MEDLINE ECONOMY LIMB HOLDER,DELUXE LIMB HOLDER,CINCH-TYPE LIMB HOLDER,PADDED LIMB HOLDER,ADJUSTABLE LIMB HOLDER
Date Cleared
1996-10-29

(63 days)

Product Code
Regulation Number
880.6760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Medline's Limb holders are intended to be utilized as a patient safety device when limited movement of the limb is deemed necessary.
Device Description
Medline's Limb holders are intended to be utilized as a patient safety device when limited movement of the limb is deemed necessary. The limb holders are all of the same basic design, some with different linings on the cuff, others utilize buckles, hook and loop closures ("velcro") or D-rings. They may be used either at the wrist or ankle and may tie to the bed frame or wheelchair.
More Information

Not Found

Not Found

No
The device description and performance studies focus on physical restraints and their safety/effectiveness, with no mention of AI or ML.

No.
Explanation: The device is described as a patient safety device used to limit movement for safety reasons, not for actively treating a medical condition or disease.

No

Explanation: The device, Medline's Limb holders, is intended to be a patient safety device for limiting movement of a limb. Its purpose is to physically restrain, not to diagnose any medical condition.

No

The device description clearly states it is a physical product (limb holders) made of materials like fabric, buckles, and hook and loop closures, intended for physical restraint. There is no mention of software components.

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

Here's why:

  • Intended Use: The intended use is to limit limb movement for patient safety. This is a physical intervention, not a diagnostic test performed on samples from the body.
  • Device Description: The description details a physical restraint device with different closure mechanisms. It does not mention any components or processes related to analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing blood, urine, tissue, or any other biological specimen. There is no indication of providing information about a patient's health status based on such analysis.

IVD devices are used to examine specimens from the human body to provide information for diagnosis, monitoring, or screening. This device does not fit that description.

N/A

Intended Use / Indications for Use

Medline's Limb holders are intended to be utilized as a patient safety device when limited movement of the limb is deemed necessary.

Product codes (comma separated list FDA assigned to the subject device)

Not Found

Device Description

Medline's Limb holders are intended to be utilized as a patient safety device when limited movement of the limb is deemed necessary. The limb holders are all of the same basic design, some with different linings on the cuff, others utilize buckles, hook and loop closures ("velcro") or D-rings. They may be used either at the wrist or ankle and may tie to the bed frame or wheelchair.

The various types of limb holders are discussed as follows:

  1. Deluxe Limb Holder - Lined with synthetic fur to minimize chafe and irritation. Hook and loop closure to help prevent tightening or loosening of cuff. Straps adjust via sewn in loops. May tie to bed frame or wheelchair frame. These limb holders are available in either cotton or nylon. Reference Attachment A for a picture of this device. Item is washable.

  2. Padded Limb Holder - Lined with synthetic fur to minimize chafe and irritation. Cuff adjusts using a corset buckle that helps prevent tightening or loosening of cuff. Belts may be detachable or non-detachable at cuff, and adjust via corset buckles. Reference Attachment A for a picture of this device. Item is washable.

  3. Quick Control Limb Holder - Lined with synthetic fur to minimize chafe and irritation. Cuff adjusts using a hook and loop closure with two adjustment rings. Reference Attachment A for a picture of this device. Item is washable.

  4. Adjustable Limb Holder - Lined with cotton to help minimize chafe and irritation. straps adjust via sewn on loops. Reference Attachment A for a picture of this device. Item is washable. Cuff backing may be Cotton Flannel or Nylon.

  5. Cinch-Type Limb Holder - Lined with one-piece foam to minimize chafe and irritation. Hook and loop closure tab will adhere anywhere on the foam backing. Straps adiust via metal "D" rings. Reference Attachment A for a picture of this device. Item may be washed or discarded.

  6. Modified Cinch-Type Limb Holder - Lined with one-piece foam to minimize chafe and irritation. Hook and loop closure tab will adhere anywhere on the foam backing. Straps adjust via metal "D" rings. This item differs from the Cinch-Type Limb Holder in that the wrist strap is independent of the anchor strap. Reference Attachment A for a picture of this device. Item may be washed or discarded.

  7. Economy Limb Holder - Cuff is made of orthopedic felt. Straps adjust using corset buckles. Reference Attachment A for a picture of this device. Item may be washed or discarded.

8.0 Single Patient Use Limb Holder - Cuff is made of foam that closes with a hook and loop tab with a nylon "D" ring. This item is the same in design as our Cinch-Type Limb Holder but is not washable and is labeled for single patient use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

wrist or ankle

Indicated Patient Age Range

Not Found

Intended User / Care Setting

physician or other trained, licensed healthcare professional / 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)

A total of thirteen articles were reviewed for this 510(k) submission. The articles listed in the citation contained pertinent data for establishing the safety and efficacy of protective restraints.

Specific safety and effectiveness data outlined in the literature include actual as well as potential complications which may occur and are summarized as follows:

Emotional desolation, agitation, fractures, chafing, burns, nerve damage, circulatory impairment, decubitus ulcers, death, and strangulation attributed to incorrect supervision, handling or application of protective restraint devices by medical or paramedical personnel. These incidences seem to be the result of inappropriate patient selection (physically restraining a patient for whom physical restrain is contraindicated), incorrect restraint selection, errors in correctly applying the device, and/or inadequate monitory of patients when restrained.

When used correctly and for indicated circumstances, protective restrains provide benefits to many patients, such as precluding patients with temporary medical related cognitive deficits from impairing the resolution of their physical problems by involuntarily discontinuing life-support or other needed medical interventions, temporarily reducing the mobility of agitated patients, or limiting the movement of a restrained limb to a desired range or limit.

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

Not Found

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.

Not Found

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 for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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 logo for Medline. The logo consists of the word "MEDLINE" in a stylized, italicized font. Above the word is a symbol that resembles a compass rose or a stylized star. The symbol has four points, with the top point being the most prominent.

One Medline Place Mundelein, Illinois 60060.4486 1.847.949.3109 1.800.950.0128 Fax 1.847.949.2643

Corporate Quality Assurance/Regulatory Affairs

SAFETY AND EFFECTIVENESS SUMMARY

ﭘﺮ

OCT 29 1996

K963378

Medline Industries, Inc. One Medline Place Mundelein. IL 60060 Phone #: (847) 949-2639 Fax #: (847) 949-2643 Lara N. Simmons Corporate Regulatory Affairs Manager

August 20, 1996

| Device Name: | Protective Restraint, Limb Holder
Wheelchair Accessory, Limb Holder |
|--------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Proprietary: | Medline Economy Limb Holder, Medline Deluxe Limb Holder, Medline Cinch-Type Limb Holder, Medline Padded Limb Holder, Medline Adjustable Limb Holder, Medline Quick Control Limb Holder, Medline Modified Cinch-Type Limb Holder. |
| Common: | Limb Restraint |

These devices have been legally marketed prior to the date of this submission. The intended use and claims, technological features, materials and physical and mechanical specifications have not been changed.

1.0 General Description

Medline's Limb holders are intended to be utilized as a patient safety device when limited movement of the limb is deemed necessary. The limb holders are all of the same basic design, some with different linings on the cuff, others utilize buckles, hook and loop closures ("velcro") or D-rings. They may be used either at the wrist or ankle and may tie to the bed frame or wheelchair.

The various types of limb holders are discussed as follows:

  1. Deluxe Limb Holder - Lined with synthetic fur to minimize chafe and irritation. Hook and loop closure to help prevent tightening or loosening of cuff. Straps adjust via sewn in loops. May tie to bed frame or wheelchair frame. These limb holders are available in either cotton or nylon. Reference Attachment A for a picture of this device. ltem is washable.

  2. Padded Limb Holder - Lined with synthetic fur to minimize chafe and irritation. Cuff adjusts using a corset buckle that helps prevent tightening or loosening of cuff. Belts

Page 15

1

may be detachable or non-detachable at cuff, and adjust via corset buckles. Reference Attachment A for a picture of this device. Item is washable.

ાં

  1. Quick Control Limb Holder - Lined with synthetic fur to minimize chafe and irritation. Cuff adjusts using a hook and loop closure with two adjustment rings. Reference Attachment A for a picture of this device. Item is washable.

  2. Adjustable Limb Holder - Lined with cotton to help minimize chafe and irritation. straps adjust via sewn on loops. Reference Attachment A for a picture of this device. Item is washable. Cuff backing may be Cotton Flannel or Nylon.

  3. Cinch-Type Limb Holder - Lined with one-piece foam to minimize chafe and irritation. Hook and loop closure tab will adhere anywhere on the foam backing. Straps adiust via metal "D" rings. Reference Attachment A for a picture of this device. Item may be washed or discarded.

  4. Modified Cinch-Type Limb Holder - Lined with one-piece foam to minimize chafe and irritation. Hook and loop closure tab will adhere anywhere on the foam backing. Straps adjust via metal "D" rings. This item differs from the Cinch-Type Limb Holder in that the wrist strap is independent of the anchor strap. Reference Attachment A for a picture of this device. Item may be washed or discarded.

  5. Economy Limb Holder - Cuff is made of orthopedic felt. Straps adjust using corset buckles. Reference Attachment A for a picture of this device. Item may be washed or discarded.

8.0 Single Patient Use Limb Holder - Cuff is made of foam that closes with a hook and loop tab with a nylon "D" ring. This item is the same in design as our Cinch-Type Limb Holder but is not washable and is labeled for single patient use only.

2

A reasonable search of all information known or otherwise presently available to Medline Industries. Inc. has been conducted. Such a search is defined as examining articles in medical literature, and company documents concerning safety and effectiveness information for safety restraints. Following is a summary of and citation to the safety and effectiveness data found in that search.

Specific safety and effectiveness data outlined in the literature include actual as well as potential complications which may occur and are summarized as follows:

Emotional desolation, agitation, fractures, chafing, burns, nerve damage, circulatory impairment, decubitus ulcers, death, and strangulation attributed to incorrect supervision, handling or application of protective restraint devices by medical or paramedical personnel. These incidences seem to be the result of inappropriate patient selection (physically restraining a patient for whom physical restrain is contraindicated), incorrect restraint selection, errors in correctly applying the device, and/or inadequate monitory of patients when restrained.

When used correctly and for indicated circumstances. protective restrains provide benefits to many patients, such as precluding patients with temporary medical related cognitive deficits from impairing the resolution of their physical problems by involuntarily discontinuing life-support or other needed medical interventions. temporarily reducing the mobility of agitated patients, or limiting the movement of a restrained limb to a desired range or limit.

Medline Industries, Inc. offers a variety of additional materials to help insure the safe and proper use of it's patient safety products, including posters and videos. Medline Industries, Inc. stresses the importance of patient monitoring, and that these products should only be used upon advice of a physician or other trained, licensed healthcare professional.

A total of thirteen articles were reviewed for this 510(k) submission. The articles listed in the citation contained pertinent data for establishing the safety and efficacy of protective restraints.

3

CITATION

Physical Restraints: An FDA Update, American Journal of Nursing From FDA Nurses 1992; 74: November 1992, Mary D. Weick, RN, MSN.

Potential Hazards With Protective Restraint Devices; FDA Medical Alert, dated November 14, 1991; MDA91-3

The Misuse of Physical Restraints in the Confused Patient; This paper was presented by Ms. Barbara Fitgerald, Ward Sister, Geriatric Unit, St. James Hospital Dublin at the INO Nursing Association for the Elderly Day Conference in April, 1986.

Federal Register/Vol. 57, No. 119/Friday, June 19, 1992/ Proposed Rules

Potential Hazards with Physical Restraint Devices: FDA Safety Alert, dated July 15. 1992

Restraint and Seclusion; Journal of Psychosocial Nursing, June 1985, Vol. 23, No. 6, Janice M. Roper, RN, MS, Adam Courtts, MS Janet Sather, RN, and Rosella Taylor, RN.