K Number
K963468
Device Name
RESTRICTIVE LIMB HOLDER
Date Cleared
1997-01-22

(141 days)

Product Code
Regulation Number
880.6760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The DeRoyal Industries, Inc. Restrictive Limb Holder is indicated for use, at the discretion of a responsible licensed healthcare professional, to substantially limit patient limb movements thereby enabling examination or protection of the patient or others. The Restrictive Limb Holder can be used with a gurney, bed, or stretcher.
Device Description
The DeRoyal Industries, Inc. Restrictive Limb Holder is a protective restraint device that is intended for medical purposes to limit limb movements thereby enabling examination or protection of the patient or others. Device Design/Materials Used/Physical Properties: The DeRoyal Restrictive Limb Holder is designed similar to those marketed by other manufacturers. The Restrictive Limb Holder is primarily comprised of leather, neoprene, and soft kodel with nylon or polyester webbing straps. The types of fasteners include hook and loop, delrin, and various types that are steel nickel plated.
More Information

Not Found

Not Found

No
The 510(k) summary describes a physical restraint device made of traditional materials and does not mention any software, algorithms, or AI/ML related terms.

No
Explanation: This device is a restraint for limiting limb movements for examination or protection, not for treating a disease or condition.

No
Explanation: The device is a restrictive limb holder designed to limit patient limb movements for examination or protection, not to diagnose a medical condition.

No

The device description explicitly states it is comprised of physical materials like leather, neoprene, kodel, nylon, polyester, delrin, and steel, indicating it is a physical hardware device, not software only.

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 perform tests on samples taken from the human body (like blood, urine, tissue) to detect diseases, conditions, or infections.
  • Device Description and Intended Use: The DeRoyal Restrictive Limb Holder is described as a "protective restraint device" intended to "substantially limit patient limb movements." Its purpose is for "examination or protection of the patient or others."
  • Lack of Diagnostic Testing: There is no mention of this device being used to analyze samples or perform any kind of diagnostic test on the patient's body fluids or tissues.

The device's function is purely physical restraint for safety and examination purposes, which falls outside the scope of In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The DeRoyal Industries, Inc. Restrictive Limb Holder is indicated for use, at the discretion of a responsible licensed healthcare professional, to substantially limit patient limb movements thereby enabling examination or protection of the patient or others. The Restrictive Limb Holder can be used with a gurney, bed, or stretcher.

Product codes

80FMQ

Device Description

The DeRoyal Industries, Inc. Restrictive Limb Holder is a protective restraint device that is intended for medical purposes to limit limb movements thereby enabling examination or protection of the patient or others.

Device Design/Materials Used/Physical Properties: The DeRoyal Restrictive Limb Holder is designed similar to those marketed by other manufacturers. The Restrictive Limb Holder is primarily comprised of leather, neoprene, and soft kodel with nylon or polyester webbing straps. The types of fasteners include hook and loop, delrin, and various types that are steel nickel plated.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

limb movements

Indicated Patient Age Range

Not Found

Intended User / Care Setting

responsible licensed healthcare professional

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)

Not Found

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

Not Found

Predicate Device(s)

Not Found

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

JAN 22 1997

K9653468

DeRoyal Industries, Inc. Restrictive Limb Holder

510(k) Summary

SUMMARY OF THE SAFETY AND EFFECTIVENESS INFORMATION UPON WHICH AN EQUIVALENCE DETERMINATION COULD BE BASED

SUBMITTER INFORMATION

NAME:DeRoyal Industries, Inc.TELEPHONE:(423) 938-7828
ADDRESS:200 DeBusk LaneCONTACT:Camille Matlock
Powell, TN 37849DATE OF PREPARATION:August 30, 1996

DEVICE NAMES

DeRoyal Industries, Inc. Restrictive Limb Holder NAME: COMMON/USUAL NAME: Restrictive Limb Holder Restraint, Protective (80FMQ) CLASSIFICATION NAME (if known):

PREDICATE OR LEGALLY MARKETED DEVICES

J.T. Posey Company DeRoyal Industries, Inc.

DEVICE DESCRIPTION

The DeRoyal Industries, Inc. Restrictive Limb Holder is a protective restraint device that is intended for medical purposes to limit limb movements thereby enabling examination or protection of the patient or others.

Device Design/Materials Used/Physical Properties: The DeRoyal Restrictive Limb Holder is designed similar to those marketed by other manufacturers. The Restrictive Limb Holder is primarily comprised of leather, neoprene, and soft kodel with nylon or polyester webbing straps. The types of fasteners include hook and loop, delrin, and various types that are steel nickel plated.

DEVICE INTENDED USE

The DeRoyal Industries, Inc. Restrictive Limb Holder is indicated for use, at the discretion of a responsible licensed healthcare professional, to substantially limit patient limb movements thereby enabling examination or protection of the patient or others. The Restrictive Limb Holder can be used with a gurney, bed, or stretcher.

CharacteristicDeRoyal DeviceOther Devices
MaterialsPrimarily comprised of leather, neoprene, and
soft kodel material with webbing straps. The
types of fasteners include hook and loop, delrin,
and various types that are steel nickel platedSame
SizeUniversalSame
Vehicles for
AttachmentGurney, Bed, or StretcherSame
Length of useDoctor must prescribe every 24 hoursSame
Level of Patient
ActivityHighly agitated or violentSame

TECHNOLOGICAL COMPARISON WITH PREDICATE OR LEGALLY MARKETED DEVICE(S)