← Product Code [FMQ](/productcode/FMQ) · K963437

# PELVIC HOLDERS (K963437)

_J. T. Posey Co. · FMQ · Nov 19, 1996 · General Hospital · SESE_

**Canonical URL:** https://fda-staging.innolitics.com/device/K963437

## Device Facts

- **Applicant:** J. T. Posey Co.
- **Product Code:** [FMQ](/productcode/FMQ.md)
- **Decision Date:** Nov 19, 1996
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 880.6760
- **Device Class:** Class 1
- **Review Panel:** General Hospital

## Indications for Use

These products are intended to hinder egress of a patient and/or assist body alignment in a hospital bed, geriatric chair, wheelchair, or gurney.

## Device Story

Pelvic holders; support torso/pelvic area; secured to bed, geriatric chair, wheelchair, or gurney via straps; closed via zipper, fabric, or straps/buckles; secured to furniture via knots or straps/buckles; used in clinical settings to prevent patient egress and maintain body alignment.

## Clinical Evidence

No clinical data; submission based on historical commercial distribution and established safety profile of existing legally marketed devices.

## Technological Characteristics

Fabric-based pelvic restraints; closure mechanisms include zippers, straps, and buckles; attachment mechanisms include straps and knots; designed for use with hospital beds, geriatric chairs, wheelchairs, and gurneys.

## Regulatory 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.

## Predicate Devices

- J.T. Posey Co. Pelvic Holders (legally marketed/exempt status)

## Submission Summary (Full Text)

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NOV-18-1996 12:38 J. T. Posey Co. 818 443 5064 P.09/11

K963437
Customer Service
Toll Free: (800) 44-POSEY
Tel: (818) 443-3143
Fax: (818) 443-5014

# PAYROLL DEPARTMENT
NOV 19 1996

## Posey Company
5635 Peck Road • Arcadia, California 91006-0020 U.S.A.

### SAFETY AND EFFECTIVENESS SUMMARY

JT Posey Company
5635 Peck Road
Arcadia, CA 91006
Michael Keefe
General Manager
August 30, 1996
Revised: November 18, 1996

Phone # (818) 443-3143
FAX # (818) 443-5014
Reference Number: K963437

Trade Name: Protective Restraints
Common Name: Pelvic Holders
Classification Name: Protective Restraints

The devices included in this 510(k) submission support the torso and/or pelvic area. The product is closed around the patient by one or more of the following: a zipper, fabric alone, straps, or straps and buckles. The product is secured to the bed, geriatric chair, wheelchair, or gurney via straps. These straps are securely connected to the bed, geriatric chair, or wheelchair by one or more of the following: knots, or straps and buckles.

These products are intended to hinder egress of a patient and/or assist body alignment in a hospital bed, geriatric chair, wheelchair, or gurney.

The devices used for comparative purposes are identical to the pelvic holders as described in this submission and produced or sold by the J.T. Posey Co. This premarket submission is submitted in response to the agency's final rule published on March 4, 1996 in the Federal Register 21 CFR 880 and 21 CFR 890 Medical Devices, Protective Restraints - Revocation of Exemptions from 510(k) Pre-market Notification Procedures and Current Good Manufacturing Practice Regulation. The June 13, 1996 Meeting Minutes, HIMA Body Holder Task Force and FDA CDRH established the rationale for which devices would be used for comparison:

&gt; "Predicate device

FDA indicated that it would be appropriate for manufacturers to reference their current products as legally marketed devices for comparison purposes in their submissions. It would also be appropriate to reference any approved 510(k)s that manufacturers have submitted for their products."

The pelvic holders are currently exempt from 510(k) Premarket Notification Procedures and Good Manufacturing Practice Regulations and are legally marketed by JT Posey Co. as of the date of this submission, August 30, 1996. The limb holders have been manufactured and in commercial distribution for up to 20 years.

Manufacturers and worldwide distributors of quality healthcare products since 1937

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**Source:** [https://fda-staging.innolitics.com/device/K963437](https://fda-staging.innolitics.com/device/K963437)

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