← Product Code [FMQ](/submissions/HO/subpart-g%E2%80%94general-hospital-and-personal-use-miscellaneous-devices/FMQ) · K963372

# HEELBO ER WRIST RESTRAINT (K963372)

_Heelbo, Inc. · FMQ · Nov 7, 1996 · General Hospital · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/HO/subpart-g%E2%80%94general-hospital-and-personal-use-miscellaneous-devices/FMQ/K963372

## Device Facts

- **Applicant:** Heelbo, Inc.
- **Product Code:** [FMQ](/submissions/HO/subpart-g%E2%80%94general-hospital-and-personal-use-miscellaneous-devices/FMQ.md)
- **Decision Date:** Nov 7, 1996
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 880.6760
- **Device Class:** Class 1
- **Review Panel:** General Hospital
- **Attributes:** Therapeutic

## Indications for Use

The Heelbo ER Wrist Restraint is intended to be a protective limb restraint that limits the patient’s movement to the extent necessary for treatment, examination, or protection of the patient or others. The device can be used in the supine or elevated positions.

## Device Story

Protective limb restraint device; limits patient movement for clinical safety or treatment. Comprises neoprene and nylon cuff with Velcro fasteners, quick-release closure, and double D-ring webbed straps. Used in clinical settings (beds/gurneys); operated by caregivers. Wrist secured in cuff; straps attached to bed frame via D-rings for rapid release. Benefits include patient safety and ease of caregiver access/disconnection compared to knotted restraints. Machine washable.

## Clinical Evidence

No clinical data. Biocompatibility assessment based on material history and lack of reported skin irritation.

## Technological Characteristics

Materials: Neoprene and nylon cuff, Velcro hook and loop fasteners, webbed straps, metal double D-rings. Mechanical restraint mechanism. Machine washable.

## 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

- Heelbo ER Wrist Restraint (K9C3372)

## Submission Summary (Full Text)

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Heelbo, Inc.
1134 N. Homan Ave.
Chicago, IL 60651
312/489-7711
Telex RCA 297-248
800/323-5444
Fax 312/489-7744
K9C3372
NOV - 7 1996

Heelbo, Inc.
Heelbo ER Wrist Restraint

# Safety and Effectiveness Summary

## 1. Submitter's name, Address and Contact Person

|  Submitter | Contact Person  |
| --- | --- |
|  Heelbo, Inc.
1134 N. Homan Ave.
Chicago, IL 60651 | Joseph S. Tokarz; Manager, Regulatory Affairs
Hollister Incorporated
2000 Hollister Drive
Libertyville, IL 60048
Ph: (847)680-2849, Fax: (847)918-3860  |

Date Summary Prepared - August 23, 1996

## 2. Name of Device:
Heelbo ER Wrist Restraint

## 3. Name of Predicate Device
Heelbo ER Wrist Restraint

## 4. Description of Device
The Heelbo ER Wrist Restraint is intended to be a protective limb restraint that limits the patient’s movement to the extent necessary for treatment, examination, or protection of the patient or others. The ER Wrist restraint can be used in the supine and elevated positions.

The Heelbo ER Wrist Restraint combines a neoprene and nylon cuff limb holder with a Velcro® fastener, Quick-Release closure, Double D-Rings, and two straps. The patient’s wrist is secured into the neoprene and nylon cuff by Velcro® hook and loop straps and a Quick release closure. The attached webbed straps are then wrapped around the bed or gurney frame and are woven through a Double D-ring closure. This d-ring closure allows the caregiver to quickly and easily disconnect the restraint from the bed or gurney frame by eliminating time consuming untying of knots. The Heelbo ER Wrist Restraint are machine washable.

## 5. Statement of Intended Use
The Heelbo ER Wrist Restraint is intended to be a protective limb restraint that limits the patient’s movement to the extent necessary for treatment, examination, or protection of the patient or others. The device can be used in the supine or elevated positions.

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{1}

Heelbo, Inc.
1134 N. Homan Ave. Chicago, IL 60651
312/489-7711
Telex RCA 297-248
800/323-5444
Fax 312/489-7744

Heelbo, Inc.
Heelbo ER Wrist Restraint

## 6. Statement of Technological Characteristics of the Device

The Heelbo ER Wrist Restraint combines a neoprene and nylon cuff limb holder with a Velcro® fastener, Quick-Release closure, Double D-Rings, and two straps. The patient’s wrist is secured into the neoprene and nylon cuff by Velcro® hook and loop straps and a Quick release closure. The attached webbed straps are then wrapped around the bed or gurney frame and are woven through a Double D-ring closure. This d-ring closure allows the caregiver to quickly and easily disconnect the restraint from the bed or gurney frame by eliminating time consuming untying of knots.

The subject devices are identical in intended use, design, materials, manufacturing process, physical and mechanical specifications and issues of safety and effectiveness to the devices prior to the submission of this notification. The only difference is that the product labeling has been revised to comply with the Agency’s labeling requirements set forth in the draft “Guidance on the Content of Premarket Notification [510(k)] Submissions for Protective Restraints” dated December 1995.

## 7. Biocompatibility Assessment

The subject devices are identical in component materials to the predicate devices. Heelbo, Inc., is not aware of any reports or complaints of skin irritation associated with the materials used in these devices. A biocompatibility review of these materials indicated little potential to evoke an adverse reaction.

## 8. Conclusion

Based upon the information presented above it is concluded that the proposed Heelbo ER Wrist Restraint is safe and effective for its intended use and is substantially equivalent to the predicate device.

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**Source:** [https://fda.innolitics.com/submissions/HO/subpart-g%E2%80%94general-hospital-and-personal-use-miscellaneous-devices/FMQ/K963372](https://fda.innolitics.com/submissions/HO/subpart-g%E2%80%94general-hospital-and-personal-use-miscellaneous-devices/FMQ/K963372)

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