K Number
K963476
Device Name
DISPOSABLE 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. Disposable Limb Holder is indicated for use, at the discretion of a responsible licensed healthcare professional, to limit limb movements thereby enabling examination of the patient or others. The Disposable Limb Holder can be used with a gurney, bed, or stretcher.
Device Description
The DeRoyal Industries, Inc. Disposable 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 Disposable Limb Holder is designed similar to those marketed by other manufacturers. The Disposable Limb Holder is primarily comprised of a kodel, nylon, flannel or blue purr material. The straps are made of white webbing. The fasteners are made of hook and loop or steel nickel plated buckles.
More Information

Not Found

Not Found

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

No.
The device is described as a "protective restraint device" used to limit limb movements for examination or protection, and it does not treat or cure any medical condition.

No
Explanation: The device is described as a "protective restraint device" used to "limit limb movements thereby enabling examination or protection of the patient or others." It does not actively diagnose any medical condition, but rather facilitates the examination process.

No

The device description explicitly details physical components like materials (kodel, nylon, flannel, blue purr, white webbing) and fasteners (hook and loop, steel nickel plated buckles), 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:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Function: The DeRoyal Disposable Limb Holder is a physical restraint device used to limit limb movement on the patient's body. It does not involve the analysis of any biological specimens.
  • Intended Use: The intended use is to facilitate examination or protect the patient or others by limiting movement, not to diagnose or monitor a medical condition through laboratory testing.

Therefore, the description clearly indicates a physical medical device used for patient management, not an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

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

Product codes

80FMQ

Device Description

The DeRoyal Industries, Inc. Disposable 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 Disposable Limb Holder is designed similar to those marketed by other manufacturers. The Disposable Limb Holder is primarily comprised of a kodel, nylon, flannel or blue purr material. The straps are made of white webbing. The fasteners are made of hook and loop or steel nickel plated buckles.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

limb

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

K963476

DeRoyal Industries, Inc. Disposable Limb Holder

510(k) Summary

JAN 22 1997

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

SUBMITTER INFORMATION

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

DEVICE NAMES

DeRoyal Industries, Inc. Disposable Limb Holder NAME: Disposable Limb Holder COMMON/USUAL NAME: 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. Disposable 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 Disposable Limb Holder is designed similar to those marketed by other manufacturers. The Disposable Limb Holder is primarily comprised of a kodel, nylon, flannel or blue purr material. The straps are made of white webbing. The fasteners are made of hook and loop or steel nickel plated buckles.

DEVICE INTENDED USE

The DeRoyal Industries, Inc. Disposable Limb Holder is indicated for use, at the discretion of a responsible licensed healthcare professional, to limit limb movements thereby enabling examination of the patient or others. The Disposable 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 kodel, nylon, flannel or
blue purr material. The straps are made of
white webbing. Fasteners include hook and
loop or 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