K Number
K963449
Device Name
PELVIC HOLDER
Manufacturer
Date Cleared
1996-10-07

(34 days)

Product Code
Regulation Number
880.6760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Pelvic Holder is intended for patients who require both slider control and restraint while in the wheelchair.
Device Description
The Pelvic Holder is a diaper-shaped device made from either woven polyester or polyester mesh. The device fits between the patient's legs and is secured by webbing around the waist. Webbing is 1 1/8-inch-wide polyester and secures to the wheelchair. The purpose of the device is to prevent patient from sliding down in the wheelchair. The edges are finished with bias cut binding that corresponds to a size chart included on the package insert. The device is intended for wheelchair use only.
More Information

Not Found

Not Found

No
The device description is purely mechanical and does not mention any computational or data-driven components.

No
The device is a restraint for patient safety and positioning, not for treating a medical condition or disease.

No
The device description states its purpose is to prevent a patient from sliding down in a wheelchair, which is a physical restraint/positioning function, not a diagnostic one.

No

The device description clearly states it is a physical, diaper-shaped device made from woven polyester or polyester mesh with webbing, indicating it is a hardware 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 medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device Description: The Pelvic Holder is a physical restraint device designed to prevent a patient from sliding down in a wheelchair. It interacts with the patient externally and does not involve the analysis of any biological specimens.
  • Intended Use: The intended use is for patient restraint and slider control in a wheelchair, which is a mechanical function, not a diagnostic one.

Therefore, the Pelvic Holder falls under the category of a physical support or restraint device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The Pelvic Holder is intended for patients who require both slider control and restraint while in the wheelchair.

Product codes

Not Found

Device Description

The Pelvic Holder is a diaper-shaped device made from either woven polyester or polyester mesh. The device fits between the patient's legs and is secured by webbing around the waist. Webbing is 1 1/8-inch-wide polyester and secures to the wheelchair. The purpose of the device is to prevent patient from sliding down in the wheelchair. The edges are finished with bias cut binding that corresponds to a size chart included on the package insert. The device is intended for wheelchair use only.

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

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Key Metrics

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Predicate Device(s)

Pelvic Holder marketed by Skil-Care Corporation.

Reference Device(s)

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

K963449

FAX

TAB F: 510(k) Summary of Safety and Effectiveness

Name, address, phone and fax numbers for person submitting the 510(k) notification:

OCT - 7 1996

Arnold Silverman, President Skil-Care Corporation 167 Saw Mill River Road Yonkers, NY 10701 Phone: 1-914-963-2040 1-914-963-2567 Fax:

Contact person: Arnold Silverman

Date summary was prepared: August 27, 1996

Device name:

Trade name: Common name: Classification name: Pelvic Holder Same Wheelchair Accessory

Predicate device:

Pelvic Holder marketed by Skil-Care Corporation.

Device Description:

The Pelvic Holder is a diaper-shaped device made from either woven polyester or polyester mesh. The device fits between the patient's legs and is secured by webbing around the waist. Webbing is 1 1/8-inch-wide polyester and secures to the wheelchair. The purpose of the device is to prevent patient from sliding down in the wheelchair. The edges are finished with bias cut binding that corresponds to a size chart included on the package insert. The device is intended for wheelchair use only.

Indications for use:

The Pelvic Holder is intended for patients who require both slider control and restraint while in the wheelchair.

Comparative information:

1

K963449

The device (devices) used for comparative purposes is (are) currently marketed as described in this submission. Device (devices) is (are): Pelvic Holder

These devices are currently exempt from 510(k) Premarket Notification Procedures and Good Manufacturing Practice Regulations and are legally marketed by Skil-Care Corporation as of the date of this submission. Skil-Care Corporation has been marketing and commercially distributing these devices for approximately 18 years.

The difference from our currently marketed devices are that the labeling will be changed to incorporate many of the suggestions in FDA's draft document, "Guidance on the Content of Premarket Notification [510(k)] Submissions for Protective Restraints.

The use of all patient restraints in nursing homes are subject to Health Care Financing Administration's Regulations which prohibit the use of any restraint, physical or chemical, imposed for the purpose of discipline or convenience. Further, most health care facilities are accredited. HCFA rules governing appropriate use and accreditation standards for device use and personnel training provide the control necessary to ensure that the devices are used correctly. The application of these standards along with public awareness and health care provider training have contributed significantly to ensuring that the least restrictive restraint is used, that restraints are used only when needed for proper medical treatment, and that their use is under appropriate supervision.