K Number
K963478
Device Name
SLEEVED/SLEEVELESS VEST RESTRAINT
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. Sleeveless Vest Restraint is indicated for use, at the discretion of a responsible licensed healthcare professional, to limit movements thereby enabling examination or protection of the patient or others. The Sleeved/ Sleeveless Vest Restraint is a protective restraint that is intended to be used with a bed or wheelchair.
Device Description
The DeRoyal Industries, Inc. Sleeved/ Sleeveless Vest Restraint device that is intended for medical purposes to limit patient movements thereby enabling examination or protection of the patient or others. Device Design/Materials Used/Physical Properties: The DeRoval Sleeved/ Sleeveless Vest Restraint is designed similar to those marketed by other manufacturers. The Sleeved/ Sleeved/ Sleeved/ Sleeved/ of cool knit, cotton, or with polyester straps. The fasteners are made of a nylon hook and loop or steel nickel plated buckles.
More Information

Not Found

Not Found

No
The device description and intended use are for a physical restraint, and there is no mention of any software, algorithms, or data processing that would indicate the use of AI or ML.

No.
The device is a restraint used to limit movement for examination or protection, and does not provide therapy.

No
The device is described as a restraint to limit movement for safety or examination, not to diagnose a condition.

No

The device description clearly states it is a physical vest restraint made of materials like cool knit, cotton, or polyester with nylon or steel fasteners. This indicates it is a hardware device, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states the device is used to "limit movements thereby enabling examination or protection of the patient or others." This is a physical restraint used on a patient.
  • Device Description: The description reinforces that it's a physical device made of fabric and fasteners, designed to limit movement.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (blood, urine, tissue, etc.) in vitro (outside the body) to provide information about a patient's health. IVDs are typically used for diagnosis, monitoring, or screening based on laboratory tests.

Therefore, the DeRoyal Industries, Inc. Sleeveless Vest Restraint is a physical medical device, not an IVD.

N/A

Intended Use / Indications for Use

The DeRoyal Industries, Inc. Sleeveless Vest Restraint is indicated for use, at the discretion of a responsible licensed healthcare professional, to limit movements thereby enabling examination or protection of the patient or others. The Sleeved/ Sleeveless Vest Restraint is a protective restraint that is intended to be used with a bed or wheelchair.

Product codes

80FMQ

Device Description

The DeRoyal Industries, Inc. Sleeved/ Sleeveless Vest Restraint device that is intended for medical purposes to limit patient movements thereby enabling examination or protection of the patient or others. Device Design/Materials Used/Physical Properties: The DeRoval Sleeved/ Sleeveless Vest Restraint is designed similar to those marketed by other manufacturers. The Sleeved/ Sleeved/ Sleeved/ Sleeved/ of cool knit, cotton, or with polyester straps. The fasteners are made of a nylon 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

Not Found

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

NOV 1 1 1996

DeRoyal Industries, Inc. Sleeved/ Sleeveless Vest Restraint

K963478

510(k) Summarv

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

FI LEPHONE: 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. Sleeved/ Sleeveless Vest Restraint Sleeved/ Sleeveless Vest Restraint Restraint, Protective (80FMQ)

PREDICATE OR LEGALLY MARKETED DEVICES

J.T. Posev Company DeRoyal Industries, Inc.

DEVICE DESCRIPTION

The DeRoyal Industries, Inc. Sleeved/ Sleeveless Vest Restraint device that is intended for medical purposes to limit patient movements thereby enabling examination or protection of the patient or others.

Device Design/Materials Used/Physical Properties: The DeRoval Sleeved/ Sleeveless Vest Restraint is designed similar to those marketed by other manufacturers. The Sleeved/ Sleeved/ Sleeved/ Sleeved/ of cool knit, cotton, or with polyester straps. The fasteners are made of a nylon hook and loop or steel nickel plated buckles.

DEVICE INTENDED USE

The DeRoyal Industries, Inc. Sleeveless Vest Restraint is indicated for use, at the discretion of a responsible licensed healthcare professional, to limit movements thereby enabling examination or protection of the patient or others. The Sleeved/ Sleeveless Vest Restraint is a protective restraint that is intended to be used with a bed or wheelchair.

TECHNOLOGICAL COMPARISON WITH PREDICATE OR LEGALLY MARKETED DEVICE(S)

CharacteristicDeRoyal DeviceOther Devices
MaterialsPrimarily comprised of tietex, cotton flannel or polyester cool
knit. The straps are made of polyester twill tape and white
webbing. Fasteners are made of hook and loop or steel nickel
plated buckles.Same
SizeX-Small, Small, Medium, Large, X-Large, XX-Large, XXX-
LargeSame
Vehicles for AttachmentBed or WheelchairSame
Length of useDoctor must prescribe every 24 hoursSame
Level of Patient ActivityMildly to moderately agitated or disorientedSame