K Number
K031624
Device Name
TINNITUS RX
Date Cleared
2003-07-24

(62 days)

Product Code
Regulation Number
874.3400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Tinnitus Rx consists of a personalized sound recorded onto a compact disc (CD) that can be played on commercially available players and listened to through commercially available headphones. The recorded sound is equivalent to that generated by a qualified hearing healthcare professional who has followed the treatment regimen utilized in the clinical study (provided in the 210(k)). The device is indicated for adult (18 years and over) tinnitus sufferers who may or may not suffer higher frequencies hearing loss and are participating in a tinnitus management program. The Tianitus Rx is for home use under the direction of an appropriately qualified healthcare professional. Patients should receive a medical evaluation by a licensed physician (preferably a physician who specializes in diseases of the ear) to rule out medically or surgically treatable diseases for which timitus is a symptom before proceeding with non-medical tinnitus management. The Tinnitus Rx is intendod for the temporary relief of timnitus symptoms.
Device Description
The Tinnitus Rx consists of a personalized sound recorded onto a compact disc (CD) that can be played on any commercially available player and listened to through commercially available headphones or speakers.
More Information

Not Found

No
The description focuses on a personalized sound recorded onto a CD, generated by a healthcare professional following a specific regimen. There is no mention of AI or ML in the device description, intended use, or performance study summary.

Yes.
The device is indicated for the temporary relief of tinnitus symptoms as part of a tinnitus management program, making it a therapeutic device.

No.
The Tinnitus Rx is indicated for the temporary relief of tinnitus symptoms and provides a personalized sound for management, not for diagnosing tinnitus or any underlying conditions. It is specifically mentioned that a medical evaluation should be performed by a licensed physician to rule out treatable diseases before using this device.

No

The device is described as a personalized sound recorded onto a compact disc (CD) and played through commercially available players and headphones. This involves physical media (CD) and hardware (CD player, headphones), not solely software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The Tinnitus Rx is a sound therapy device that uses personalized sound played through headphones to provide temporary relief of tinnitus symptoms. It does not involve the analysis of any biological specimens.
  • Lack of IVD-related information: The document does not mention any laboratory tests, specimen collection, or analysis of biological samples, which are hallmarks of IVD devices.

Therefore, the Tinnitus Rx falls under the category of a therapeutic device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Tinnitus Rx consists of a personalized sound recorded onto a compact disc (CD) that can be played on commercially available players and listened to through commercially available headphones. The recorded sound is equivalent to that generated by a qualified hearing healthcare professional who has followed the treatment regimen utilized in the clinical study (provided in the 210(k)). The device is indicated for adult (18 years and over) tinnitus sufferers who may or may not suffer higher frequencies hearing loss and are participating in a tinnitus management program.

The Tianitus Rx is for home use under the direction of an appropriately qualified healthcare professional.

Patients should receive a medical evaluation by a licensed physician (preferably a physician who specializes in diseases of the ear) to rule out medically or surgically treatable diseases for which timitus is a symptom before proceeding with non-medical tinnitus management.

The Tinnitus Rx is intendod for the temporary relief of timnitus symptoms.

Product codes (comma separated list FDA assigned to the subject device)

KLW

Device Description

The Tinnitus Rx consists of a personalized sound recorded onto a compact disc (CD) that can be played on any commercially available player and listened to through commercially available headphones or speakers.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Adult (18 years and over)

Intended User / Care Setting

home use under the direction of an appropriately qualified healthcare professional.

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Since the Tinnitus Rx unlizes a custom sound for each patient as opposed to a generic broadband sound, a clinical study showing that the device relieves tinnitus was included in the submission.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K982451, K030791

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 874.3400 Tinnitus masker.

(a)
Identification. A tinnitus masker is an electronic device intended to generate noise of sufficient intensity and bandwidth to mask ringing in the ears or internal head noises. Because the device is able to mask internal noises, it is also used as an aid in hearing external noises and speech.(b)
Classification. Class II. The special control for this device is patient labeling regarding:(1) Hearing health care professional diagnosis, fitting of the device, and followup care,
(2) Risks,
(3) Benefits,
(4) Warnings for safe use, and
(5) Specifications.

0

510(K) SUMMARY FOR K031624

  1. Sponsor

Daniel S. J. Choy, M.D. Chairman

Tinnitus Control, Inc. 170 East 77th Street New York, New York 10021

2. Device Name

Trade Name of DeviceTinnitus Rx
Common NameTinnitus Masker
Classification nameTinnitus Masker
Product CodeKLW
Regulation ClassII
Regulation Number§874.3400

3. Indications for Use

The Tinnitus Rx consists of a personalized sound recorded onto a compact disc (CD) that can be played on commercially available players and listened to through commercially available headphones. The recorded sound is equivalent to that generated by a qualified hearing healthcare professional who has followed the treatment regimen utilized in the clinical study (provided in the The device is indicated for adult (18 years and over) tinnitus sufferers who may or may 210(k)). not suffer higher frequencies hearing loss and are participating in a tinnitus management program,

The Tianitus Rx is for home use under the direction of an appropriately qualified healthcare professional.

Patients should receive a medical evaluation by a licensed physician (preferably a physician who specializes in diseases of the ear) to rule out medically or surgically treatable diseases for which timitus is a symptom before proceeding with non-medical tinnitus management.

1

The Tinnitus Rx is intendod for the temporary relief of timnitus symptoms.

Device Description 4.

The Tinnitus Rx consists of a personalized sound recorded onto a compact disc (CD) that can be played on any commercially available player and listened to through commercially available headphones or speakers.

Basis for Substantial Equivalence র্তা

The Tinnitus Rx is substantially equivalent to the TTCGHI-T and TTCTM-3 tinnitus maskers, devices cleared under K982451 and the TinniTech ANMP device cleared under K030791. All of the devices use sound to temporarily relieve a patient's tinnitus. Since the Tinnitus Rx unlizes a custom sound for each patient as opposed to a generic broadband sound, a clinical study showing that the device relieves tinnitus was included in the submission. A comparison table to the ANMP dovice is provided below.

CharacteristicTinnitus RxTinniTech ANMP System
Intended UseProvide temporary relief of
tinnitus symptomsContinuously and
intermittently mask tinnitus as
part of a tinnitus management
program with masking noise
and selected music to promote
the relaxation of the patient
during delivery of the
Tinnitech ANMP therapy
Target PopulationAdults (18 years and over)
both with and without high
frequency loss, with tinnitus
who are participating in a
tinnitus management programAdults (18 years and over)
both with and without high
frequency loss, with tinnitus
who are participating in a
tinnitus management program
Operation
Audio signal
technologyDigitalDigital
Available
noises/soundsA personalized sound
matching the pitch of the
patient's tinnitus derived by
following a scientifically
studied clinical protocolPre-adapted to the patient's
hearing characteristics. A
wide selection of musical
sounds incorporating Tinnitus
Masking noise (20Hz - 20
kHz) digitally recorded on
mini compact discs in MP3
format.
MediumOne CDTwo mini CDs
Volume ControlPatient labeling warns patient
against playing the CD at a
level louder than his/her
tinnitusWarning in manual against
playing CDs at uncomfortable
levels
DistributionThe sale of the custom-made
Tinnitus Rx CD will only be
through a qualified healthcare
professionalSold via direct and indirect
channels involving an
appropriately qualified
healthcare professional
ComponentsThe components of the
Tinnitus Rx include:
• Customized CD
• User Manual for
physician
• Patient labelingThe components of the
complete TinniTech ANMO
system include:
• Sound files on storage
(mini CDs)
• MP3 mini CD player
• User Manual
Equipment used• A commercially
available CD player
that is capable of
producing the sounds
generated from the
customized CD (Aiwa
XP-R232
recommended).
• Headphones with a
frequency range of 30• Philips eXpanium 40
mini-disc player with
headphones.
- 20000 HZ and an
impedance > 24 ohms.
CharacteristicNew devicePredicate device (K030791)
Where usedHome use under an
appropriately qualified
healthcare professionalHome use under an
appropriately qualified
healthcare professional
SafetyThe Tinnitus RX is to be used
in a quiet environment.
The patient is instructed to
use the Tinnitus Rx at levels
no louder than his/her own
tinnitus.The ANMP therapy should
never be undertaken when the
tinnitus masking sounds might
prevent the patient from
hearing cues or warnings of
likely harm or danger.
PerformanceThe pre-CD evaluations at the
physician's office provides
the patient with a benchmark
of the effect he/she should
experience with the at-home
CD.The TinniTech ANMP system
enables the user to determine
whether the delivered therapy
assists in the management of
their tinnitus.
InstructionsThe Tinnitus Rx comes with
both physician and patient
instruction guides.The TinniTech ANMP
System comes with a User's
Guide.

Comparison of Tinnitus Rx and TTCGHI-T / TTCTM3-T

2

3

:

,

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 2 4 2003

Tinnitus Control, Inc. c/o Dr. Daniel S.J. Choy 170 East 77th Street New York, NY 10021

Re: K031624

Trade/Device Name: Tinnitus Rx Regulation Number: 21 CFR 874.3400 Regulation Name: Tinnitus Masker Regulatory Class: Class II Product Code: KLW Dated: May 22, 2003 Received: June 5, 2003

Dear Dr. Choy:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices. good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

5

Page 2 - Dr. Choy

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (301) 594-4613. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Alegi Rosenthal

A. Ralph Rosenthal, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Indications for Use

510(k) Number (if known): K031624 Tinnitus Rx Device Name:

Indications for Use:

The Tinaltus Rx consists of a personalized sound recorded onto a compact disc (CD) that can be played on commercially available players and listened to through commercially available headphones. The rocorded sound is equivalent to that generated by a qualified houring healthcare professional who has followed the reatment regimen utilized in the clinical study (provided in the The device is indicated for adult (18 years and over) tinnitus sufferers who may or may 210(k)). not suffer higher frequencies hearing loss and are participating in a tinnitus management program.

The Tianitus Rx is for home use under the direction of an appropriately qualified healthcare professional.

Paticats should receive a medical evaluation by a licensed physician (proferably a physician who specializes in discases of the car) to rule out medically or surgically treatable diseases for which tinnitus is a symptom before proceeding with non-medical tinnitus management.

The Tinnitus Rx is intonded for the temporary relief of tinnitus symptoms.

Jannz K. Rose, M.O.

510(k) Number