BANKS HYDRO-THERAPY CHAIR

K953796 · Keith Products, Inc. · ILM · Apr 1, 1996 · Physical Medicine

Device Facts

• Record ID: K953796
• Device Name: BANKS HYDRO-THERAPY CHAIR
• Applicant: Keith Products, Inc.
• Product Code: ILM · Physical Medicine
• Decision Date: Apr 1, 1996
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 890.5100
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The intended use of the device is to aid in adding moisture to necrotic areas in order to aid in the debridement of wounds, to aid in the relief of pain and discomfort, to aid in the cleansing of open wounds, and as a form of physical therapy for certain types of pathologies.

Device Story

Powered sitz bath for home use; supports patient in chair with backrest, armrests, seat, and frame. Hydro-pad at base connects via rubberized hose to external blower motor; motor forces air through hydro-pad ports to create water agitation/swirling motion. Chair design allows water jets to reach sacral, coccyx, rectal, groin, and vaginal areas. Removable arm frames for disabled/handicapped access; suction cups and stable bar secure chair to bathtub. Soft polyethylene construction prevents skin pressure. Provides hydrotherapy to aid wound debridement, cleansing, and pain relief; reduces need for hospital transport.

Clinical Evidence

No clinical data; bench testing only.

Technological Characteristics

Materials: soft polyethylene. Principle: air-blower driven water agitation via hydro-pad ports. Form factor: chair with removable arm frames, suction cups, and stable bar for bathtub mounting. Energy source: electric blower motor. Connectivity: none.

Indications for Use

Indicated for patients requiring whirlpool therapy for wound debridement, cleansing of open wounds, pain relief, or physical therapy for various pathologies. Suitable for home use; includes handicapped and disabled persons.

Regulatory Classification

Identification

An immersion hydrobath is a device intended for medical purposes that consists of water agitators and that may include a tub to be filled with water. The water temperature may be measured by a gauge. It is used in hydrotherapy to relieve pain and itching and as an aid in the healing process of inflamed and traumatized tissue, and it serves as a setting for removal of contaminated tissue.

Special Controls

*Classification.* Class II (special controls). The device, when it is a hydromassage bath or a powered sitz bath, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 890.9.

Predicate Devices

• Ferno-Washington, Inc. Ferno-Ille-Hi-Lo, Jr. (K914125)

Submission Summary (Full Text)

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K952796

# 510(K) SUMMARY" AS REQUIRED BY 807.92(C)

Pursuant to 807.92(a)(1)
David Banks
3411 Oakcrest Drive
Shelby, NC 28150
704-487-1003
APR - 1 1996

Pursuant to 809.92(a)(2):
- Trade name - "Banks Hydro-Therapy Chair"
- Common name - Powered Sitz Bath
- Classification - Bath, Sitz, Powered, Class II device pursuant to 21 C.F.R. §890.5100

Pursuant to 809.92(a)(3) applicant claims substantial equivalence to legally marketed predicate device the Ferno-Washington, Inc. "Ferno-Ille-Hi-Lo, Jr.™". The predicate device is a mobile whirlpool bearing Registration No. K914125.

Pursuant to 809.92(a)(4), a description of the device is:

The Banks Hydro-Therapy Chair provides whirlpool therapy in the home so that patients do not require unnecessary hospitalization or require transportation to a hospital. The Banks Hydro-Chair comprises: a chair for supporting the patient, the chair may comprise a backrest, armrest, seat and frame; a hydro-pad, suction cups for removably fastening the chair to a bath tub, the lateral stability of the chair may be increased by a Stable Bar that is removably fastened to the backrest and a corresponding side wall of the bath in which the whirlpool therapy is taking place. The Hydro-pad is connected at the base of the Chair and the posterior opening of the Hydro-pad connects to a hose(typically rubberized tubing) which is connected to a blower motor which exerts a powerful pressure of air circulating through the ports of the Hydro-pad.

Streams of water jet through the ports causing a swirling motion of the water in which the Hydro-pad is immersed. The Chair is also

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composed of a seat portion and the Chair is open so jets of water can reach the sacral, coccyx, rectum, groin and vaginal areas of the patient utilizing the Hydro-Therapy Chair. The seating and backing of the Chair are made of soft polyethylene material to prevent undue pressure to the skin during therapy. For handicapped and disabled persons, the arm frames of the Chair are easily removable. A more detailed description of the materials can be found in the drawings included in the "Attachments" section, section 2.

Pursuant to 809.92(a)(5), the intended use of the device is to aid in adding moisture to necrotic areas in order to aid in the debridement of wounds, to aid in the relief of pain and discomfort, to aid in the cleansing of open wounds, and as a form of physical therapy for certain types of pathologies.

Pursuant to 809.92(a)(6), basically, both the applicant's device("Banks Hydro-Therapy Chair") and the predicate device("Ferno-Washington, Inc.-Ille-Hi-Lo, Jr.™") agitate warm water to assist in the healing of patients requiring immersion in warm agitated water for such purposes as treatment of wounds, improvement of circulation, and relief of skin pain and discomfort.

Pursuant to 809.92(b)(1)-(3), applicant believes no assessment of performance data is necessary.

Pursuant to 809.92(d), applicant believes that no other information is necessary for 510(k) approval, but applicant will provide other information as reasonably required by the Food and Drug Administration.