K Number
K963473
Device Name
REUSABLE LIMB HOLDER
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. Reusable Limb Holder is indicated for use, at the discretion of a responsible licensed healthicare professional, to limit limb movements thereby enabling examination of the patient or others. The Reusable Limb Holder can be used with a gurney, bed, or stretcher.
Device Description
The DeRoyal Industries, Inc. Reusable Limb Holder is a protective restraint device that is intended for medical purposes to limit patient limb movements thereby enabling examination or protection of the patient or others. Device Design/Materials Used/Physical Properties: The DeRoyal Reusable Limb Holder is designed similar to those marketed by other manufacturers. The Reusable Limb Holder is primarily comprised of a flannel and/or blue purr material. The straps are made of white webbing. The fasteners include a nylon hook and steel nickel plated buckles.
More Information

None

Not Found

No
The summary describes a physical restraint device with no mention of software, data processing, or AI/ML terms.

No.
The device acts as a protective restraint to limit limb movements for examination or protection, rather than directly treating a medical condition.

No
Explanation: The device is a limb holder, described as a "protective restraint device" intended to "limit patient limb movements" to enable examination or protection. It does not analyze or interpret bodily data to provide a diagnosis.

No

The device description clearly states it is comprised of physical materials like flannel, webbing, and buckles, indicating it is a physical restraint device, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: The DeRoyal Industries, Inc. Reusable Limb Holder is a physical restraint device used to limit patient limb movement. It does not involve testing samples from the body or providing diagnostic information.
  • Intended Use: The intended use is to "limit limb movements thereby enabling examination of the patient or others." This is a physical intervention, not a diagnostic test.

Therefore, based on the provided information, the DeRoyal Industries, Inc. Reusable Limb Holder is a medical device, but it does not fit the definition of an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

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

Product codes

80FMQ

Device Description

The DeRoyal Industries, Inc. Reusable Limb Holder is a protective restraint device that is intended for medical purposes to limit patient limb movements thereby enabling examination or protection of the patient or others.
Device Design/Materials Used/Physical Properties: The DeRoyal Reusable Limb Holder is designed similar to those marketed by other manufacturers. The Reusable Limb Holder is primarily comprised of a flannel and/or blue purr material. The straps are made of white webbing. The fasteners include a nylon hook and steel nickel plated buckles.

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

responsible licensed healthicare 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

Not Found

Key Metrics

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

NOV 14 1996
K963473

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

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

DEVICE NAMES

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

PREDICATE OR LEGALLY MARKETED DEVICES

J.T. Posey Company DeRoyal Industries, Inc.

DEVICE DESCRIPTION

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

Device Design/Materials Used/Physical Properties: The DeRoyal Reusable Limb Holder is designed similar to those marketed by other manufacturers. The Reusable Limb Holder is primarily comprised of a flannel and/or blue purr material. The straps are made of white webbing. The fasteners include a nylon hook and steel nickel plated buckles.

DEVICE INTENDED USE

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

TECHNOLOGICAL COMPARISON WITH PREDICATE OR LEGALLY MARKETED DEVICE(S)

CharacteristicDeRoyal DeviceOther Devices
MaterialsPrimarily comprised of flannel and/or blue purr
material. The straps are made of white
webbing. Fasteners include nylon hook and
steel nickel plated buckles.Same
SizeUniversalSame
Vehicles for
AttachmentGurney, Bed, or StretcherSame
Length of useDoctor must prescribe every 24 hoursSame
Level of Patient
ActivityMildly to moderately agitated or disorientedSame