← Product Code [KID](/submissions/PM/subpart-d%E2%80%94physical-medicine-prosthetic-devices/KID) · K963455

# SLEEVED JACKET/SLEEVED JACKET WITH SLIDER CONTROL (K963455)

_Skil-Care Corp. · KID · Oct 8, 1996 · Physical Medicine · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/PM/subpart-d%E2%80%94physical-medicine-prosthetic-devices/KID/K963455

## Device Facts

- **Applicant:** Skil-Care Corp.
- **Product Code:** [KID](/submissions/PM/subpart-d%E2%80%94physical-medicine-prosthetic-devices/KID.md)
- **Decision Date:** Oct 8, 1996
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 890.3910
- **Device Class:** Class 1
- **Review Panel:** Physical Medicine
- **Attributes:** Therapeutic

## Indications for Use

The sleeved jacket is intended for patients who require posture support while seated in a wheelchair. The sleeved jacket with slider control is intended for patients who require posture support and additional support to prevent sliding forward while seated in a wheelchair. Both are intended for patients who have a history of removing vest-style and poncho-style restraints.

## Device Story

Postural support garment for wheelchair users; polyester upper body garment with short sleeves, brass back zipper, and polyester webbing ties. Sleeved Jacket with Slider Control includes additional crotch pad with polyurethane foam lining and webbing strap secured to wheelchair cross brace to prevent sliding. Used in clinical/nursing home settings; operated by healthcare staff. Provides physical support to maintain posture and prevent patient sliding; intended for patients prone to removing other restraint types. Clinical decision-making guided by facility accreditation standards and HCFA regulations prohibiting use for discipline or convenience.

## Clinical Evidence

No clinical data; device relies on ten-year history of commercial distribution and compliance with established HCFA regulations and facility accreditation standards for restraint use.

## Technological Characteristics

Materials: polyester garment, brass zipper, polyester webbing ties, 1/4 inch polyurethane foam (slider control version). Form factor: upper body garment with integrated straps for wheelchair attachment. Non-powered, mechanical device.

## Regulatory 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.

## Predicate Devices

- Sleeved Jacket and Sleeved Jacket with Slider Control (currently marketed by Skil-Care Corporation)

## Submission Summary (Full Text)

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Skil-Care CORPORATION K963455 167 Saw Mill River Road, Yonkers, New York 10701
OCT - 8 1996
(914) 963-2040
(800) 431-2972
FAX (914) 963-2567

# TAB F: 510(k) Summary of Safety and Effectiveness

Name, address, phone and fax numbers for person submitting the 510(k) notification:

Arnold Silverman, President
Skil-care Corporation
167 Saw Mill River Road
Yonkers, NY 10701
Phone: 1-914-963-2040
Fax: 1-914-963-2567

Contact Person: Arnold Silverman

Date summary was prepared: August 18, 1996

Device name:
Trade name: Sleeved Jacket and Sleeved Jacket with Slider Control
Common name: Same
Classification name: Wheelchair Accessory

Predicate device:

The Sleeved Jacket and Sleeved Jacket with Slider Control currently marketed by Skil-Care Corporation

Device Description:

Sleeved Jacket: The sleeved jacket is a polyester upper body garment, designed to be worn over clothing, with short sleeves, a brass back zipper, and 1 & 1/8 inch polyester webbing ties sewn across the back at the shoulder area and across the front at the waist. The ties are tied to the wheelchair push handles and kick spurs, respectively, to provide patients with postural support. The edges of the garment are finished with bias cut binding in a color to correspond with the garment size as described in the insert labeling.

Sleeved Jacket with Slider Control: The Sleeved Jacket with Slider Control has the same features as the sleeved jacket with the addition of a crotch pad sewn to the bottom center front. The pad is lined with ¼ inch polyurethane foam and has a 1 & 1/8 inch polyester webbing strap sewn on that is either placed directly under the patient or under the seat of the wheel chair and secured to the wheelchair cross brace to prevent the patient from sliding down.

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K963455

## Indications for Use:

The *sleeved jacket* is intended for patients who require posture support while seated in a wheelchair.

The *sleeved jacket with slider control* is intended for patients who require posture support and additional support to prevent sliding forward while seated in a wheelchair.

Both are intended for patients who have a history of removing vest-style and poncho-style restraints.

## Comparative information:

The devices used for comparative purposes are the Sleeved Jacket and Sleeved Jacket with Slider Control, currently marketed and as described in this submission.

These devices are currently exempt from 510(k) Premarket Notification Procedures and Good Manufacturing Practice Regulations and are legally marketed by Skil-Care Corporation as of the date of this submission. Skil-Care Corporation has been manufacturing and commercially distributing these devices for approximately ten years.

The difference from our currently marketed devices are that the labeling will be changed to incorporate many of the suggestions in FDA’s draft document, “Guidance on the Content of Premarket Notification [510(k)] Submissions for Protective Restraints.”

The use of *all* patient restraints in nursing homes are subject to Health Care Financing Administration’s Regulations which prohibit the use of any restraint, physical or chemical, imposed for the purpose of discipline or convenience. Further, most health care facilities are accredited. HCFA rules governing appropriate use and accreditation standards for device use and personnel training provide the control necessary to ensure that the devices are used correctly. The application of these standards along with public awareness, and health care provider training have contributed significantly to ensuring that the least restrictive restraint is used, that restraints are used only when needed for proper medical treatment, and that their use is under appropriate supervision.

Skil-Care 510(k) Summary of Safety and Effectiveness
Sleeved Jacket and Sleeved Jacket with Slider Control
Page 2 of 2
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**Source:** [https://fda.innolitics.com/submissions/PM/subpart-d%E2%80%94physical-medicine-prosthetic-devices/KID/K963455](https://fda.innolitics.com/submissions/PM/subpart-d%E2%80%94physical-medicine-prosthetic-devices/KID/K963455)

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