K Number
K963469
Device Name
MITTENS
Date Cleared
1996-11-14

(72 days)

Product Code
Regulation Number
880.6760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The DeRoyal Industries, Inc. Mittens are indicated for use, at the discretion of a responsible licensed healthcare professional, to limit limb movements thereby enabling examination or protection of the patient or others. The Mittens are intended to be attached to a bed.
Device Description
The DeRoyal Industries, Inc. Mittens are a protective restraint device that are intended for medical purposes to control hand and finger movements and/or limit limb movements thereby enabling examination or protection of thers. Device Design/Materials Used/Physical Properties: The DeRoyal Mittens are designed similar to those marketed by other manufacturers. The Mittens are primarily comprised of 100% cotton or polyester with hook and loop or buckle fasteners.
More Information

Not Found

Not Found

No
The summary describes a physical restraint device made of cotton or polyester with fasteners, with no mention of software, algorithms, or data processing.

No.
The provided text describes the device as a protective restraint device intended to limit limb movements for examination or protection, not for treating a disease or illness.

No.
The device is a protective restraint intended to limit limb movements, not to diagnose medical conditions.

No

The device description explicitly states the mittens are comprised of physical materials (cotton or polyester) with fasteners, indicating it is a physical medical device, not software-only.

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 movements thereby enabling examination or protection of the patient or others." This is a physical restraint function, not a diagnostic test performed on samples from the human body.
  • Device Description: The description details a physical device made of cotton or polyester with fasteners, designed to control hand and finger movements. This aligns with a physical restraint, not a diagnostic instrument or reagent.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific substances, or providing diagnostic information about a patient's health condition through in vitro testing.

IVD devices are specifically designed to perform tests on samples taken 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

The DeRoyal Industries, Inc. Mittens are indicated for use, at the discretion of a responsible licensed healthcare professional, to limit limb movements thereby enabling examination or protection of the patient or others. The Mittens are intended to be attached to a bed.

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

80FMQ

Device Description

The DeRoyal Industries, Inc. Mittens are a protective restraint device that are intended for medical purposes to control hand and finger movements and/or limit limb movements thereby enabling examination or protection of thers.
Device Design/Materials Used/Physical Properties: The DeRoyal Mittens are designed similar to those marketed by other manufacturers. The Mittens are primarily comprised of 100% cotton or polyester with hook and loop or buckle fasteners.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hand and finger

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): 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

NOV 1 4 1996

K96-3469

DeRoyal Industries, Inc. Mittens

510(k) Summary

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

SUBMITTER INFORMATION

DeRoyal Industries, Inc. NAME: ADDRESS: 200 DeBusk Lane Powell, TN 37849

TELEPHONE: CONTACT: DATE OF PREPARATION: (423) 938-7828 Camille Matlock August 30, 1996

DEVICE NAMES

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

PREDICATE OR LEGALLY MARKETED DEVICES

J.T. Posey Company DeRoyal Industries, Inc.

DEVICE DESCRIPTION

The DeRoyal Industries, Inc. Mittens are a protective restraint device that are intended for medical purposes to control hand and finger movements and/or limit limb movements thereby enabling examination or protection of thers.

Device Design/Materials Used/Physical Properties: The DeRoyal Mittens are designed similar to those marketed by other manufacturers. The Mittens are primarily comprised of 100% cotton or polyester with hook and loop or buckle fasteners.

DEVICE INTENDED USE

The DeRoyal Industries, Inc. Mittens are indicated for use, at the discretion of a responsible licensed healthcare professional, to limit limb movements thereby enabling examination or protection of the patient or others. The Mittens are intended to be attached to a bed.

CharacteristicDeRoyal DeviceOther Devices
MaterialsPrimarily comprised of 100% cotton or polyesterSame
SizeSmall, Medium, Large, and Extra-LargeSame
Vehicles for AttachmentBedSame
Length of useDoctor must prescribe every 24 hoursSame
Level of Patient ActivityMildly agitated
Limb interference by patientSame

TECHNOLOGICAL COMPARISON WITH PREDICATE OR LEGALLY MARKETED DEVICE(S)