My 10/8/15 inquiry to the FDA re: the "Big John Heimlich Helper" includes 2004 patent granted to the late Louis M. Karpel of Honeoye Falls, NY

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  • 8/20/2019 My 10/8/15 inquiry to the FDA re: the "Big John Heimlich Helper" includes 2004 patent granted to the late Louis M…

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    Subject: request

    From: Peter Heimlich

    Date: 10/8/2015 11:22 AM

    To: [email protected]

    CC: "Alderton, Bonnie J."

    Office of Compliance

    U.S. Food and Drug Administration

    To whom it may concern:

    Per the October 6, 2015 e-mail copied directly below my signature, I was referred to your office by FDA

     public health advisor Bonnie J. Alderton.

    On October 4, 2015, I sent an inquiry to the FDA's Division of Industry and Consumer Education (DICE)

    regarding the "Big John Heimlich Helper," a medical device marketed and sold by Big John Products, Inc.,

    8533 Canoga Avenue, Suite D, Canoga Park, CA 91304. Please click here for an Amazon.com page selling

    the device. Please find attached a pdf file of the patent for the device.

    According to the October 6, 2015 e-mail to me from Ms. Alderton in response to my inquiry to DICE (page

    down), "I find no record of (FDA) registration or listing for Big John Products."

    This is to request that your office determine whether the "Big John Heimlich Helper" is in compliance with

    your agency's regulations and to provide me with the results of your findings.

    Thanks for your attention and I look forward to your reply.

    Sincerely,

    Peter M. Heimlich

    3630 River Hollow Run

    Peachtree Corners, GA 30096

     ph: (208)474-7283

    website: http://medfraud.info

     blog: http://the-sidebar.com

    e-mail: [email protected]

    cc: Bonnie J. Alderton

    encl: US6725863.pdf 

    On 10/6/2015 1:40 PM, Alderton, Bonnie J. wrote:

    Please submit your complaint and concerns to our Office of Compliance at [email protected]  I am

    unable to provide you with a name as this mailbox is monitored by several Compliance employees. You should

    clearly describe the device with links to the company web site, drawings, labeling, etc. Anything that will help that

    office determine device classificaon.

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    I hope this informaon is helpful.

    Sincerely,

    Bonnie J. Alderton

    Public Health Advisor

    Postmarket and Consumer Branch

    Division of Industry and Consumer Educaon ( formerly DSMICA)Office of Communicaon and Educaon

    Center for Devices and Radiological Health

    U.S. Food and Drug Administraon

    Excellent customer service is important to us. Please take a moment to provide feedback regarding the customer 

    service you have received by taking our Customer Service Survey 

    On 10/6/2015 11:43 AM, "DICE"  wrote to [email protected]

    Thank you for contacting the Division of Industry and Consumer 

    Education (DICE) at FDA's Center for Devices and Radiological

    Health (CDRH) [email protected] e-mail account.

    Upon further investigation, I have learned these devices, while theyare Class II, are EXEMPT from the premarket notification (510K)

    process. Therefore, they are only required to register their 

    establishment and list their product. You can view the regulation

    information by going to our web site

    at http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr 

    /cfrsearch.cfm?fr=880.6740  Again, Lifevac has registered and

    listed with FDA, however I find no record of registration or listing for 

    Big John Products.

    Feel free to write me back with any questions you may have. I hope

    this information is helpful.

    Sincerely,

    Bonnie J. Alderton

    Public Health Advisor 

    Postmarket and Consumer Branch

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    Division of Industry and Consumer Education

    Office of Communication and Education

    Center for Devices and Radiological Health

    U.S. Food and Drug Administration

    This communication is consistent with 21 CFR 10.85 (k) and

    constitutes an informal communication that represents my best

     judgment at this time but does not constitute an advisory opinion, doesnot necessarily represent the formal position of FDA, and does not

    bind or otherwise obligate or commit the agency to the views

    expressed. This communication is intended for the exclusive use of the

    recipient(s) named in this correspondence. It may contain information

    that is protected, privileged, or confidential, and it should not be

    modified. It may not be disseminated, distributed, reproduced, or

    copied to persons not authorized to receive such information. If you

    are not the intended recipient, any dissemination, distribution, or

    copying is strictly prohibited. If you think you have received this

    communication in error, please immediately delete all copies from thesaved sources and notify DICE by email

    at:[email protected] immediately.

    Excellent customer service is important to us. Please take a moment to provide

    feedback regarding the customer service you have received:

    https://www.research.net/s/cdrhcustomerservice?O=800&D=870&B=870&

    E=&S=E

    Original Message

    From: [email protected]

    Sent: 10/4/2015

    -------------------------------------------------------------------------------------------

    Subject: request to review two medical devices -- LifeVac and Big

    John Heimlich Helper 

    Message:

    Division of Industry and Consumer Education (DICE)

    U.S. Food and Drug Administration (FDA)

    10903 New Hampshire Avenue

    Silver Spring, MD 20993

    To whom it may concern:

    Please find attached a pdf consisting of my six-page letter 

    to your division dated today.

    Thank you for your consideration and I look forward to your 

    reply.

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    Sincerely,

    Peter M. Heimlich

    3630 River Hollow Run

    Peachtree Corners, GA 30096

    ph: (208)474-7283

    website: http://medfraud.info

    blog: http://the-sidebar.come-mail: [email protected]

    cc: Bonnie J. Alderton, FDA Public Health Advisor 

    encl: 15-10-4 PMH-DICE LifeVac + Heimlich Helper.pdf 

    Attachments:

    US6725863.pdf 368 KB

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    US006725863B2

    1 2 ) United

    States

    Patent 1 0 ) P a t e n t N 0 . 2 US 6 , 7 2 5 , 8 6 3

    B2

    K a r p e l

    4 5 ) D a t e

    o f P a t e n t :

    A p r . 2 7 , 2 0 0 4

    (54) CHOKINGASSISTANCE DEVICE 3 , 4 0 1 , 6 8 6 A 9/1968 Edwards . . . . . . . . . . . . . . . . . . . . . 1 2 8 / 2 8

    4,059,099 11/1977

    Davis

    . . . . . . . . . .. 128/28

    7 6 ) I n v e n t o r : Louis M.

    arpel, 62

    BuggyWhip

    T r a i l ,

    4 , 1 6 4 , 2 1 6 A 8 / 1 9 79 P e r s o n - - - - 1 2 8 / 2 8

    Honeoye alls,

    NYUS)

    14472 4,182,317 1/1980

    Ash

    . . . . . . . . . . . . . . . . . . 128/28

    4 ,726,357 A 2 / 1 9 88

    DeStefano

    . . . . . . 128/28

    *

    )

    N o t i c e : S u b j e c t t o any d i s c l a i m e r , t h e term o f

    t h i s 13321937

    5 1 1 / 1 9 9 1 Young - - - - - -

    D 2 4 / 1 3 3

    patent i s extended o r adjusted under

    35

    D363,554

    S

    1 0 / 1 9 9 5 P s a r o s . . . . . . . . . . . . D24/200

    U _ S _ C _

    1 5 4 k ) )

    by

    0

    days D 3 6 3 , 9 9 1 S 1 1 / 1 9 9 5 B e n w a r e e t a 1 . D 2 4 / 2 0 0

    D381,754 S 7 / 1 9 9 7 Fani . . . . . . . . . . . . . . . D24/2OO

    5 , 6 5 1 , 7 5 5

    7/1997 Chen

    . . . . . . . . . . . . . . . . . . . . . . . . . . 482/128

    2 1 ) Appl NO

    10/121’834

    5 , 7 2 2 , 9 8 7 A 3 / 1 9 9 8

    Witbeck

    . . . . . . . . . . . . . . . . . . . . . 6 0 6 / 2 0 1

    2 2 )

    F i l e d : A p r . 1 2 , 2 0 0 2

    6 5 )

    P r i o r

    P u b l i c a t i o n Data P r i m a r y

    Examiner—Michael A . Brown

    7 4 ) A t t o r n e y , A g e n t ,

    o r

    Firm—BroWn & M i c h a e l s

    P C ;

    US 2002 /0 156 405 A1 c t . 2 4 ,

    2002

    _

    E u g e n e

    S t e p h e n s &

    s s o c i a t e s

    R e l a t e d

    US.

    A p p l i c a t i o n

    Data

    6 0 )

    P r o v i s i o n a l a p p l i c a t i o n N o .

    6 0 / 2 8 4 , 6 4 6 , ? l e d o n A p r . 1 8 ,

    2 0 0 1 . 5 7 ) ABSTRACT

    5 1 ) I n t . C l . 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A61G / 0 4 A

    hoking

    a s s i s t a n c e d e v i c e i n c l u d e s

    a

    head s p e c i a l l y

    5 2 ) US.

    C l .

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

    1 2 8 / 8 4 5 ; 6 0 6 / 2 0 1

    d e s i g n e d

    f o r

    p l a c e m e n t

    a g a i n s t

    t h e

    abdomen o f a c h o k i n g

    5 8 ) F i e l d

    O f

    Search

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

    1 2 8 / 8 4 5 , 8 4 6 ; v i c t i m f o r

    performance

    o f

    t h e Heimlieh Maneuver.

    The

    head

    6 0 6 / 2 0 1 ; 4 8 2 / 1 2 1 , 1 2 2 , 1 2 6 , 1 2 8 h a s l a t e r a l e x t e n s i o n s a n d , i n

    t h e

    p r e f e r r e d

    e m b o d i m e n t ,

    a

    c e n t r a l

    b u l g e .

    The c h o k i n g a s s i s t a n c e

    d e v i c e

    a l s o

    h a s

    a

    5 6 )

    R e f e r e n c e s C i t e d s p a c i n g r o d a t t a c h e d t o

    t h e

    h e a d W i t h

    a p p r o p r i a t e l y l o c a t e d

    h a n d l e s a n d

    a

    n o n - s l i p

    b a s e p a d .

    U . S . PATENTDOCUMENTS

    1 , 5 3 5 , 8 2 2 A 4 / 1 9 2 5

    G o o d w i n 1 8

    C l a i m s , 3 Drawing

    S h e e t s

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    U.S. Patent A p r . 2 7 , 2 0 0 4 S h e e t

    1 o f 3

    U S 6 , 7 2 5 , 8 6 3 B2

    F I G

    1

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  • 8/20/2019 My 10/8/15 inquiry to the FDA re: the "Big John Heimlich Helper" includes 2004 patent granted to the late Louis M…

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    U.S. Patent A

    . 2 7

    2 0 0 4 S h e e t

    3

    o f 3

    US

    , 7 2 5 , 8 6 3 B 2

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    US 6 , 7 2 5 , 8 6 3 B2

    1

    CHOKINGASSISTANCE DEVICE

    T h i s a p p l i c a t i o n

    c l a i m s

    t h e

    b e n e ? t o f

    US. P r o v i s i o n a l

    A p p l i c a t i o n

    N o .

    6 0 / 2 8 4 , 6 4 6 ,

    ? l e d

    o n A p r .

    1 8 ,

    2 0 0 1 ,

    W h i c h

    p r o v i s i o n a l

    a p p l i c a t i o n

    i s

    i n c o r p o r a t e d

    b y r e f e r e n c e h e r e i n .

    TECHNICAL IELD

    My n v e n t i o n

    d e a l s

    g e n e r a l l y W i t h a p p a r a t u s i n t e n d e d t o

    a s s i s t

    i n t h e p e r f o r m a n c e o f t h e

    H e i m l i c h

    Maneuver o h e l p

    a c h o k i n g

    v i c t i m . More

    s p e c i ? c a l l y ,

    i t d e a l s W i t h e q u i p m e n t

    t h a t t h e

    choking

    v i c t i m

    can

    u s e W i t h o u t o u t s i d e a s s i s t a n c e t o

    perform

    t h e Heimlich Maneuver on h i m s e l f o r h e r s e l f .

    BACKGROUND OF THE INVENTION

    Thousands

    o f

    p e o p l e

    i n

    t h e U n i t e d S t a t e s d i e e a c h y e a r

    f r o m a c c i d e n t a l c h o k i n g .

    F o r

    many y e a r s , m e d i c a l

    o p i n i o n

    d i f f e r e d

    a s

    t o

    t h e

    m o s t - e f f e c t i v e Way t o d e a l With a c c i d e n t a l

    c h o k i n g . O f t e n s h a r p b l o W s t o

    t h e

    b a c k , ? n g e r s W e e p s o f

    t h e

    t h r o a t , a n d

    manual h r u s t s

    t o

    t h e c h e s t Were

    a t t e m p t e d .

    These

    m e t h o d s p r o v e d t o b e n o t o n l y

    u s e l e s s

    a n d i n e f f e c t u a l i n

    most c a s e s ,

    b u t

    t o a c t u a l l y b e h a r m f u l t o t h e c h o k i n g v i c t i m .

    I n 1 9 8 5 ,

    t h e

    American Red C r o s s ,

    t h e

    American H e a r t

    A s s o c i a t i o n , a n d t h e

    S u r g e o n G e n e r a l

    o f t h e

    U n i t e d

    S t a t e s

    d e t e r m i n e d t h a t methods o t h e r t h a n t h e H e i m l i c h Maneuver

    c a n

    b e d a n g e r o u s a n d

    t h a t

    o n l y t h e H e i m l i c h

    Maneuver

    s h o u l d be used t o t r e a t

    a

    choking v i c t i m .

    H e n r y J . H e i m l i c h , M . D . ,

    d e v i s e d

    t h e H e i m l i c h

    Maneuver

    i n t h e e a r l y 1 9 7 0 s .

    I t

    depends f o r

    i t s

    s u c c e s s on t h e f a c t t h a t

    a c h o k i n g

    v i c t i m ’ s

    l u n g s

    h a v e

    a l a r g e volume

    o f

    a i r i n them

    e v e n i f t h e p e r s o n

    Was e x h a l i n g

    When t h e

    c h o k i n g b e g a n . I f

    a r e s c u e r p r e s s e s s h a r p l y

    and

    r e p e a t e d l y on t h e v i c t i m ’ s

    a b d o m e n ,

    W i t h o n e b a l l e d ? s t W r a p p e d i n t h e o p p o s i t e h a n d ,

    a t

    a

    p o i n t

    j u s t

    a b o v e

    t h e n a v e l ,

    b u t

    beloW

    t h e

    r i b

    c a g e

    a n d

    t h e

    d i a p h r a g m ,

    t h a t r e s e r v o i r

    o f

    a i r i s e x p e l l e d

    u p

    t h e

    a i r W a y

    W i t h

    a

    g r e a t f o r c e .

    T h i s s e r v e s t o d i s l o d g e t h e o b s t r u c t i o n

    from t h e v i c t i m ’ s

    t h r o a t .

    The

    H e i m l i c h

    Maneuver

    s

    g e n e r a l l y

    s a f e

    a n d e f f e c t i v e . I n

    a d d i t i o n , t h e

    a v e r a g e

    p e r s o n

    u s u a l l y c a n m a s t e r

    i t . HoWever,

    i t

    i s

    f a r e a s i e r f o r a r e s c u e r

    t o

    perform t h i s maneuver

    on

    t h e

    v i c t i m t h a n

    f o r t h e

    v i c t i m

    t o

    a s s i s t

    h i m s e l f o r

    h e r s e l f )

    i n t h i s

    W a y .

    The

    r e s c u e r ,

    Who s t a n d s

    b e h i n d t h e v i c t i m , h a s h i s

    arms

    p a r t i a l l y

    e x t e n d e d

    a n d i s

    t h e r e f o r e p r o p e r l y p o s i t i o n e d t o

    e x e r t t h e

    s q u e e Z i n g

    c o m p r e s s i v e f o r c e

    r e q u i r e d

    f o r t h e

    s u c c e s s o f

    t h e

    Heimlich

    Maneuver.

    The i n d i v i d u a l v i c t i m ,

    a c t i n g

    a l o n e ,

    m u s t t r y t o p r e s s h i s

    ? s t s

    a n d h a n d s

    a g a i n s t h i s

    oWn abdomen W i t h o u t any e x t e n s i o n

    o r

    p r o p e r l e v e r a g e )

    With

    s u f f i c i e n t

    f o r c e

    t o e f f e c t

    t h e

    e x p u l s i o n o f food

    o r

    some

    o t h e r

    item

    from

    h i s

    oWn

    h r o a t . This

    i s

    rendered even

    m ore

    d i f ? c u l t

    by

    t h e

    f a c t t h a t

    t h e

    v i c t i m i s i n

    t h e

    p r o c e s s o f

    choking

    and m y

    be c l o s e

    t o unconsciousness a s W e l l a s

    s u b s t a n t i a l l y W e a k e n e d .

    I n a d d i t i o n ,

    many

    c h o k i n g

    v i c t i m s

    a r e e l d e r l y p e o p l e Who

    l i v e a l o n e . Not o n l y

    a r e

    t h e s e i n d i v i d u a l s t h e most

    l i k e l y

    t o

    b e

    a f f l i c t e d by a c h o k i n g

    emergency

    W i t h o u t

    a n y

    a v a i l a b l e

    p e r s o n

    t o

    a s s i s t

    n e a r b y , t h e y a r e o f t e n f r a i l a n d Would ?nd

    i t

    d i f ? c u l t

    t o

    perform t h e Heimlich

    Maneuver on

    t h e m s e l v e s

    a t

    t h e

    b e s t

    o f

    t i m e s .

    When h e y

    a r e

    i n t h e p r o c e s s o f c h o k i n g ,

    a n d p o s s i b l y

    p a n i c k e d ,

    t h e i r c h a n c e s o f

    s u r v i v a l a r e

    e x t r e m e l y s m a l l . T h e r e

    i s ,

    t h e r e f o r e , a g r e a t n e e d f o r some

    t y p e

    o f

    a p p a r a t u s t o

    a s s i s t i n d i v i d u a l s i n p e r f o r m i n g

    t h e

    Heimlich

    Maneuver

    on

    t h e m s e l v e s .

    To d a t e , most d e v i c e s t h a t

    h a v e

    b e e n

    d e v e l o p e d t o

    a s s i s t

    i n t h e p e r f o r m a n c e

    o f

    t h e H e i m l i c h

    Maneuver

    h a v e

    f e a t u r e d

    a b a l l o r dome-shaped

    h e a d t o b e

    p r e s s e d a g a i n s t t h e

    v i c t i m ’ s abdomen. U s u a l l y some t y p e

    o f h a n d l e s

    a r e

    a t t a c h e d t o t h e head t o f a c i l i t a t e t h e

    d e v i c e ’ s

    u s e by t h e

    10

    1 5

    30

    35

    40

    45

    50

    55

    60

    6 5

    2

    r e s c u e r . These d e v i c e s

    m y a s s i s t

    t h e

    r e s c u e r

    and

    h e l p t o

    p r e v e n t b r u i s i n g o f

    t h e

    v i c t i m ’ s a b d o m e n , b u t t h e y d o n o t

    p r o v i d e t h e

    l e v e r a g e

    a n d p o s i t i o n i n g n e e d e d

    b y

    t h e

    v i c t i m

    i n

    p e r f o r m i n g t h e Heimlich

    Maneuver

    on h i m s e l f .

    Only tWo

    d e v i c e s

    knoWn

    t o

    t h e

    a p p l i c a n t

    h a v e b e e n

    a d a p t e d

    f o r

    u s e

    by

    a

    v i c t i m

    by

    i n c l u d i n g

    a

    s p a c i n g

    r o d

    t o

    p r o v i d e l e v e r a g e

    f o r

    s e l f u s e . US. a t . N o . 4 , 1 6 4 , 2 1 6 ,

    i s s u e d

    t o

    P e r s o n

    i n

    1 9 7 9 ,

    f o r a

    “ T h r o a t O b s t r u c t i o n E x p u l s i o n

    D e v i c e ” , f e a t u r e s a s p a c i n g r o d W i t h a

    s l i d i n g

    t u b e

    mounted

    t h e r e o n . The t u b e

    h a s

    h a n d l e s and a

    d i s c - s h a p e d

    h e a d . The

    s p a c i n g

    r o d h a s a f o o t f o r r e s t i n g

    o r

    mounting on a t a b l e t o p

    o r o t h e r s u r f a c e .

    I n

    o r d e r t o

    u s e t h e

    d e v i c e , t h e choking

    v i c t i m

    p l a c e s t h e

    h e a d o f

    t h e

    d e v i c e a g a i n s t h i s abdomen

    a n d

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  • 8/20/2019 My 10/8/15 inquiry to the FDA re: the "Big John Heimlich Helper" includes 2004 patent granted to the late Louis M…

    11/11

    US 6 , 7 2 5 , 8 6 3 B2

    5 6

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    t h r o a t , t h e body-engaging

    s u r f a c e

    having a c e n t r a l bulge * * * * *