K Number
K972446
Device Name
PEDO CUSH PEDO CUDDLE
Date Cleared
1997-11-13

(136 days)

Product Code
Regulation Number
880.6760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Pedo Cush Pedo Cuddle is to be used under the direction and/or the supervision of a dentist only, as a tool to help manage an uncontrollable child for the purpose of protection of the child from injury while receiving dental treatment. It is not to be used as a punishment tool. The Health Professional must be in control of his/hers emotions while using the Pedo Cush if at any time he/she feels the overwhelming of the exnotions he/she must take a break, deliver the child back to the parent's arms. After the emotions are under control then helshe may continue to work. Remember that the option of referring out to another dentist is a possibility.
Device Description
A combination restraint and cushion for securing a pediatric patient in a dental chair, said combination comprising; a restraint comprising a main body portion which has a plurality of flaps attached thereto, each of said flaps having hook and loop fasteners affixed thereto, such that said flaps can be positioned and fastened around said patient to hold said patients torso in position a plurality of strings (straps) for tying said restraint around said dental chair and a headpiece which fits around the top of said dental chair, said restraint having adhesive material affixed to the back thereof to hold said restraint in position on said dental chair, and a cushion having an arcuste indentation at its top end to hold said petient's buttooks in position, said cushion being enclosed in a pillowcase having an adhesive material affixed to the underside thereof in order to maintain said cushion in position on said dental chair, said pillowcase having a plurality of flaps attached thereto, said flaps each having hook and loop fasteners affixed thereto such that said flaps can be positioned and fastened around said patient's legs to hold them in position. Pedo Cush Pedo Cuddle is covered by U.S. Patent N. 5,425, 381 and is described in more detail therein.
More Information

Not Found

Not Found

No
The device description and intended use clearly describe a physical restraint and cushion system. There is no mention of software, algorithms, or data processing that would indicate the use of AI or ML. The performance study describes clinical use, not algorithmic performance.

No.
The device is described as a restraint and cushion to manage a child during dental treatment for protection from injury, without any stated therapeutic function.

No
The device is described as a restraint and cushion designed to help manage an uncontrollable child during dental treatment, not to diagnose a condition.

No

The device description clearly outlines a physical restraint and cushion system with hardware components like fabric, fasteners, straps, and adhesive material. There is no mention of software as part of the device itself.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. They are used outside the body (in vitro).
  • Pedo Cush Pedo Cuddle Function: The description clearly states that the Pedo Cush Pedo Cuddle is a physical restraint and cushion used to secure a pediatric patient in a dental chair during dental treatment. It is a physical device used on the patient's body to manage their behavior and prevent injury.

The intended use, device description, and lack of any mention of analyzing biological samples or providing diagnostic information all indicate that this device falls outside the scope of In Vitro Diagnostics. It is a physical medical device used for patient management and safety during a procedure.

N/A

Intended Use / Indications for Use

To protect both patient and clinician from sudden and unsafe patient movement.
Pedo Cush Pedo Cuddle is to be used under the direction and/or the supervision of a dentist only, as a tool to help manage an uncontrollable child for the purpose of protection of the child from injury while receiving dental treatment. It is not to be used as a punishment tool. The Health Professional must be in control of his/hers emotions while using the Pedo Cush if at any time he/she feels the overwhelming of the exnotions he/she must take a break, deliver the child back to the parent's arms. After the emotions are under control then helshe may continue to work. Remember that the option of referring out to another dentist is a possibility.

Product codes

ISMO

Device Description

A combination restraint and cushion for securing a pediatric patient in a dental chair, said combination comprising; a restraint comprising a main body portion which has a plurality of flaps attached thereto, each of said flaps having hook and loop fasteners affixed thereto, such that said flaps can be positioned and fastened around said patient to hold said patients torso in position a plurality of strings (straps) for tying said restraint around said dental chair and a headpiece which fits around the top of said dental chair, said restraint having adhesive material affixed to the back thereof to hold said restraint in position on said dental chair, and a cushion having an arcuste indentation at its top end to hold said petient's buttooks in position, said cushion being enclosed in a pillowcase having an adhesive material affixed to the underside thereof in order to maintain said cushion in position on said dental chair, said pillowcase having a plurality of flaps attached thereto, said flaps each having hook and loop fasteners affixed thereto such that said flaps can be positioned and fastened around said patient's legs to hold them in position. Pedo Cush Pedo Cuddle is covered by U.S. Patent N. 5,425, 381 and is described in more detail therein.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Secures patient's torso and legs

Indicated Patient Age Range

pediatric patient, child patients

Intended User / Care Setting

dentist only, Dental office

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)

Tested on over 1,000 child patients with behavior ranging from uncooperative and fearful to hysterically out-of-control; successfully managed the patients to allow dental procedures to be performed.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

Olympic Papose Board

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

K972446

NOV 1 3 1997

Summary:

• Submitter's name:Cavity Free Kids
Address:1224 Arcade St.
St. Paul, MN
Telephone:612-774-0583
Fax Number:612-793-0967
Contact person:Dr. Vacharee S. Peterson
Summary prepared:May 16, 1997
• Trade Name:Pedo Cush Pedo Cuddle
Common Name:Protective Restraint
  • Identification of legally marketed device to which equivalency is claimed: Olympic ● Papose Board, manufactured by Olympic Medical Co. Seattle, WA.

Description of Pedo Cush Pedo Cuddle:

A combination restraint and cushion for securing a pediatric patient in a dental chair, said combination comprising; a restraint comprising a main body portion which has a plurality of flaps attached thereto, each of said flaps having hook and loop fasteners affixed thereto, such that said flaps can be positioned and fastened around said patient to hold said patients torso in position a plurality of strings (straps) for tying said restraint around said dental chair and a headpiece which fits around the top of said dental chair, said restraint having adhesive material affixed to the back thereof to hold said restraint in position on said dental chair, and a cushion having an arcuste indentation at its top end to hold said petient's buttooks in position, said cushion being enclosed in a pillowcase having an adhesive material affixed to the underside thereof in order to maintain said cushion in position on said dental chair, said pillowcase having a plurality of flaps attached thereto, said flaps each having hook and loop fasteners affixed thereto such that said flaps can be positioned and fastened around said patient's legs to hold them in position. Pedo Cush Pedo Cuddle is covered by U.S. Patent N. 5,425, 381 and is described in more detail therein.

Intended use:

To protect both patient and clinician from sudden and unsafe patient movement.

1

Comparison of technological characteristics:

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Pedo Cush Pedo CuddlePapoose Board
DesignWrap and Cushion, each
having flaps with Velcro
closuresWrap with Velcro closures;
board and head stabilizer
can be added
MaterialsWrap (including flaps,
straps, and headpiece) made
of soft cloth with non-slip-
rubber backing, has Velcro
closures. Foam cushion
enclosed in hospital ticking
vinyl inserted in cotton
outer jacketMesh fabric wrap with
Velcro closures. Vinyl-
covered board, plastic head
stabilizer.
PerformanceControls side-to-side and
up-and -down motion of
patient in dental chair.
Tested on over 1,000 child
patients with behavior
ranging from uncooperative
and fearful to hysterically
out-of-control;
successfully managed the
patients to allow dental
procedures to be performed.Controls side-to-side and
up-and-down motion of
patient in dental chair.
Currently on market.
Sterility:Jacket can be laundered and
bleached.Same
Safety:Secures patient firmly and
comfortable in dental chair.Same
Anatomical sites:Secures patient's torso and
legsSame
Human factors:Comfortable and relaxing
for patientSame
Compatibility with other
devices:Can be used with any
standard dental chairSame
Where used:Dental officeSame

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three tail feathers, representing the department's commitment to health, human services, and well-being. The eagle is encircled by the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA". The logo is simple and recognizable, conveying the department's role in serving the American people.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Dr. Vacharee S. Peterson Cavity Free Kids, Incorporated 1224 Arcade Street St. Paul, Minnesota 55106

K972446 Re : Pedo Cush Pedo Cuddle Trade Name: Regulatory Class: I Product Code: ISMO October 9, 1997 Dated: October-14, 1997 --Received:

Dear Dr. Peterson:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531

NOV 1 3 1007

3

Page 2 - Dr. Peterson

through 542 of the Act for devices under the Electronic Chrough Jaz Or the notrol provisions, or other Federal laws or requlations.

This letter will allow you to begin marketing your device as described in your 510 (k) premarket notification. The FDA deberraco in formalence of your device to a legally Finding or babbancear or coults in a classification for your markets and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

ರ್ವಾ

.Enclosure

4

K972446

Indications For Use

$10(k) Number (if known)K972446
Device Name:PEDO CUSH PEDO CUDDLE

Indications For Use:Pedo Cush Pedo Cuddle is to be used under the direction and/or the supervision of a dentist only, as a tool to help manage an uncontrollable child for the purpose of protection of the child from injury while receiving dental treatment. It is not to be used as a punishment tool. The Health Professional must be in control of his/hers emotions while using the Pedo Cush if at any time he/she feels the overwhelming of the exnotions he/she must take a break, deliver the child back to the parent's arms. After the emotions are under control then helshe may continue to work. Remember that the option of referring out to another dentist is a possibility.

OR

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF MERDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Patricia Crescenti

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