K Number
K963480
Device Name
MULTI-PURPOSE UTILITY RESTRAINT/BODY HOLDER
Date Cleared
1997-01-22

(141 days)

Product Code
Regulation Number
890.3910
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The DeRoyal Industries, Inc. Multi-Purpose Utility Restraint/ Body Holder is indicated for use, at the discretion of a responsible licensed healthcare professional, to limit patient movements thereby enamination or protection of th patient or others. The Multi-Purpose Utility Restraint can be used with an OR table, gurney, bed, or stretcher. The Bod Holder is a protective restraint which can be used with a bed or wheelchair.
Device Description
The DeRoyal Industries, Inc. Multi-Purpose Utility Restraint / Body Holder is a protective restraint device that is intend medical purposes to limit patients thereby enabling examination or protection of the patient or others. Device Design/Materials Used/Physical Properties: The DeRoyal Multi-Purpose Utility Restraint/ Body Holde designed similar to those marketed by other manufacturers. The Multi-Purpose Utility Restraint Body Holder is prima - comprised of nylon or cotton.
More Information

Not Found

Not Found

No
The device description and intended use clearly describe a physical restraint device made of nylon or cotton, with no mention of software, algorithms, or any technology that would incorporate AI or ML.

No
The device is described as a "protective restraint device" used to limit patient movements for examination or protection, not for treating a disease or condition.

No

This device is a physical restraint, not a device used to diagnose a medical condition. Its purpose is to limit patient movement for examination or protection, as stated in the "Intended Use / Indications for Use" and "Device Description" sections.

No

The device description clearly states it is a physical restraint device made of nylon or cotton, indicating 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 is to "limit patient movements thereby enabling examination or protection of the patient or others." This describes a physical restraint used on a patient's body.
  • Device Description: The description confirms it's a "protective restraint device" made of materials like nylon or cotton.
  • Lack of IVD Characteristics: There is no mention of:
    • Analyzing samples from the human body (blood, urine, tissue, etc.).
    • Providing information about a patient's health status, diagnosis, or treatment based on sample analysis.
    • Any laboratory or analytical procedures.

IVD devices are used to perform tests on samples taken from the body, not to physically interact with the body itself in the way a restraint does.

N/A

Intended Use / Indications for Use

The DeRoyal Industries, Inc. Multi-Purpose Utility Restraint/ Body Holder is indicated for use, at the discretion of a responsible licensed healthcare professional, to limit patient movements thereby enamination or protection of th patient or others. The Multi-Purpose Utility Restraint can be used with an OR table, gurney, bed, or stretcher. The Bod Holder is a protective restraint which can be used with a bed or wheelchair.

Product codes

80FMQ

Device Description

The DeRoyal Industries, Inc. Multi-Purpose Utility Restraint / Body Holder is a protective restraint device that is intend medical purposes to limit patients thereby enabling examination or protection of the patient or others.

Device Design/Materials Used/Physical Properties: The DeRoyal Multi-Purpose Utility Restraint/ Body Holde designed similar to those marketed by other manufacturers. The Multi-Purpose Utility Restraint Body Holder is prima - comprised of nylon or cotton.

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

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

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

§ 890.3910 Wheelchair accessory.

(a)
Identification. A wheelchair accessory is a device intended for medical purposes that is sold separately from a wheelchair and is intended to meet the specific needs of a patient who uses a wheelchair. Examples of wheelchair accessories include but are not limited to the following: armboard, lapboard, pusher cuff, crutch and cane holder, overhead suspension sling, head and trunk support, and blanket and leg rest strap.(b)
Classification. Class I (general controls). If the device is not intended for use as a protective restraint as defined in § 880.6760 of this chapter, it is exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 890.9. The device is also exempt from the current good manufacturing practice requirements of the quality system regulation in part 820 of this chapter, with the exception of § 820.180, regarding general requirements concerning records, and § 820.198, regarding complaint files.

0

JAN 2 2 1997

Y96934880

DeRoyal Industries, Inc. Multi-Purpose Utility Restraint/ Body 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

TELEPHONE: 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. Multi-Purpose Utility Restraint/ Body Holder Utility Restraint/ Body Holder Restraint, Protective (80FMQ)

PREDICATE OR LEGALLY MARKETED DEVICES

J.T. Posey Company DeRoyal Industries, Inc.

DEVICE DESCRIPTION

The DeRoyal Industries, Inc. Multi-Purpose Utility Restraint / Body Holder is a protective restraint device that is intend medical purposes to limit patients thereby enabling examination or protection of the patient or others.

Device Design/Materials Used/Physical Properties: The DeRoyal Multi-Purpose Utility Restraint/ Body Holde designed similar to those marketed by other manufacturers. The Multi-Purpose Utility Restraint Body Holder is prima - comprised of nylon or cotton.

DEVICE INTENDED USE

The DeRoyal Industries, Inc. Multi-Purpose Utility Restraint/ Body Holder is indicated for use, at the discretion of a responsible licensed healthcare professional, to limit patient movements thereby enamination or protection of th patient or others. The Multi-Purpose Utility Restraint can be used with an OR table, gurney, bed, or stretcher. The Bod Holder is a protective restraint which can be used with a bed or wheelchair.

TECHNOLOGICAL COMPARISON WITH PREDICATE OR LEGALLY MARKETED DEVICE(S)

CharacteristicDeRoyal DeviceOther Devices
MaterialsPrimarily comprised of nylon or cotton.
Materials also include blue purr foam, white
binding, and webbing.Same
SizeUniversalSame
Vehicles for
AttachmentBody Holder: Bed or Wheelchair
Multi-Purpose Utility Restraint: OR Table,
Gurney, Bed, or StretcherSame
Length of useDoctor must prescribe every 24 hoursSame
Level of Patient
ActivityMildly Agitated or Disoriented
Surgical Patient
Patient TransportSame