K Number
K963460
Device Name
ROLL BELT
Manufacturer
Date Cleared
1996-10-09

(36 days)

Product Code
Regulation Number
880.6760
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Roll Belt is intended for the patient who requires a safety belt while in bed and who requires a reminder not to leave the bed without assistance.

Device Description

The Roll Belt has a cotton duck pad approximately 26 1/2 inches in length. At its narrowest end, the pad is approximately 6 1/2 inches wide, and at its widest end it is approximately eight inches wide. A 1 1/2-inch-wide, 88-inch-long strap made of polyester webbing is stitched to each end of the cotton duck pad. The wide end has a slot that is approximately 6 1/2 inches long and 1 1/2 inches wide. The webbing from the narrow end is inserted through the slot on the wide end, thereby closing the belt while it encircles the patient's waist. The straps criss-cross in front of the patient permitting him/her to roll from side to side. Both straps are secured to the bed frame. The edges of the device are finished with a bias cut binding.

AI/ML Overview

This document is a 510(k) summary for a medical device (Roll Belt Bed Safety Belt, a protective restraint) and does not contain information about studies related to acceptance criteria or device performance in the way a modern AI/software as a medical device (SaMD) submission would.

Therefore, I cannot extract the requested information as it is not present in the provided text. The document focuses on regulatory aspects, device description, indications for use, and comparison with a predicate device, noting that the device itself has been marketed for many years and is exempt from certain regulations. The "comparative information" refers to regulatory comparisons, not performance studies.

Summary of missing information:

  • Acceptance Criteria Table: Not present.
  • Sample Size for Test Set and Data Provenance: No performance study described.
  • Number of Experts and Qualifications for Ground Truth: Not applicable as no performance study is described.
  • Adjudication Method: Not applicable.
  • MRMC Comparative Effectiveness Study: Not present.
  • Standalone Performance Study: Not present.
  • Type of Ground Truth: Not applicable.
  • Sample Size for Training Set: Not applicable (no AI/machine learning device).
  • How Ground Truth for Training Set was Established: Not applicable.

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OCT - 9 1996

K963460

oad. Yonkers. New York 10701

Skil-Care
CORPORATION

(914) 963-2040
(800) 431-2972
FAX (914) 963-2567

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

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

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:

Roll Belt Bed Safety Belt Protective Restraint

Predicate device:

Roll Belt marketed by Skil-Care Corporation.

Device Description:

The Roll Belt has a cotton duck pad approximately 26 1/2 inches in length. At its narrowest end, the pad is approximately 6 1/2 inches wide, and at its widest end it is approximately eight inches wide. A 1 1/2-inch-wide, 88-inch-long strap made of polyester webbing is stitched to each end of the cotton duck pad. The wide end has a slot that is approximately 6 1/2 inches long and 1 1/2 inches wide. The webbing from the narrow end is inserted through the slot on the wide end, thereby closing the belt while it encircles the patient's waist. The straps criss-cross in front of the patient permitting him/her to roll from side to side. Both straps are secured to the bed frame. The edges of the device are finished with a bias cut binding.

Indications for use:

The Roll Belt is intended for the patient who requires a safety belt while in bed and who requires a reminder not to leave the bed without assistance.

/P

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Comparative information:

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

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 restraint is used, that restraints are used only when needed for proper medical treatment, and that their use is under appropriate supervision.

§ 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.