K Number
K062951
Device Name
TAP III ANTI-SNORING DEVICE
Date Cleared
2006-12-12

(74 days)

Product Code
Regulation Number
872.5570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
To reduce or alleviate night time snoring and mild to moderate obstructive sleep apnea (OSA).
Device Description
The TAP III Anti-Snoring device is comprised of: - Lower tray fitted over the lower teeth. - Upper tray fitted over the upper teeth. - Impression material - Hook and Base mechanism to attach lower tray to upper tray.
More Information

TAP-K962516, TOA-K972061, TAP II - K060388

No
The device description and summary of performance studies describe a mechanical oral appliance with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is intended to alleviate mild to moderate obstructive sleep apnea (OSA) and reduce night time snoring, which directly addresses a medical condition and its symptoms.

No

The device is described as an anti-snoring device intended to reduce or alleviate snoring and mild to moderate obstructive sleep apnea. Its function is descriptive of a therapeutic device that acts directly to treat a condition, rather than a diagnostic one that identifies or characterizes a disease or condition. While performance studies mention a "Reduced AHI in patients 72%", this refers to the effect of the device rather than its diagnostic capability.

No

The device description clearly lists physical components (lower tray, upper tray, impression material, hook and base mechanism) which are hardware.

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

Here's why:

  • Intended Use: The intended use is to reduce or alleviate snoring and sleep apnea. This is a therapeutic purpose, not a diagnostic one. IVDs are used to diagnose diseases or conditions.
  • Device Description: The device is a physical appliance worn in the mouth. It does not involve the analysis of biological samples (like blood, urine, or tissue) which is characteristic of IVDs.
  • Lack of Diagnostic Function: The device's function is to physically adjust the airway, not to detect or measure any biological markers or processes related to sleep apnea or snoring.

Therefore, the TAP III Anti-Snoring device, as described, falls under the category of a therapeutic medical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The TAP III is intended to reduce or alleviate night time snoring and mild to moderate obstructive sleep apnea, OSA.

Product codes

LRK

Device Description

The TAP III Anti-Snoring device is comprised of:

  • Lower tray fitted over the lower teeth.
  • Upper tray fitted over the upper teeth.
  • Impression material
  • Hook and Base mechanism to attach lower tray to upper tray.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

intraoral

Indicated Patient Age Range

Adult patients 18 years and older

Intended User / Care Setting

Home and sleep laboratories.

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)

Performance Testing
Non applicable under Section 514
Reduced AHI in patients: 72%

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

Not Found

Predicate Device(s)

TAP-K962516, TOA-K972061, TAP II - K060388

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.5570 Intraoral devices for snoring and intraoral devices for snoring and obstructive sleep apnea.

(a)
Identification. Intraoral devices for snoring and intraoral devices for snoring and obstructive sleep apnea are devices that are worn during sleep to reduce the incidence of snoring and to treat obstructive sleep apnea. The devices are designed to increase the patency of the airway and to decrease air turbulence and airway obstruction. The classification includes palatal lifting devices, tongue retaining devices, and mandibular repositioning devices.(b)
Classification. Class II (special controls). The special control for these devices is the FDA guidance document entitled “Class II Special Controls Guidance Document: Intraoral Devices for Snoring and/or Obstructive Sleep Apnea; Guidance for Industry and FDA.”

0

K062951

Airway Management Inc. 6116 North Central Expressway Suite 605 Dallas, Texas 75206

BEC 】 2 2006

Non-Confidential Summary of Safety and Effectiveness

September 28, 2006

Airway Management Inc.Tel- (972) 369-0978
6116 North Central Expressway
Suite 605
Dallas, Texas 75225Fax- (214) 691-3151
Official ContactDarren Edward Henderson
Proprietary or Trade NameTAP III
Common / Usual NameDental Device - Anti Snoring / Obstructive Sleep Apnea
device
Classification NameAnti -Snoring / Obstructive Sleep Apnea Device
Device:TAP III
Predicate DeviceNellcor Puritan Bennett - TAP-K962516
Thornton Oral Appliance - TOA-K972061
TAP II - K060388

Device Description:

The TAP III Anti-Snoring device is comprised of:

  • � Lower tray fitted over the lower teeth.
  • © Upper tray fitted over the upper teeth.
  • & Impression material
  • � Hook and Base mechanism to attach lower tray to upper tray.

. Intended Use: 1 . 1 . 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

| Indicated Use -- | The TAP III is intended to reduce or alleviate night time
snoring and mild to moderate obstructive sleep apnea,
OSA. |
|----------------------|----------------------------------------------------------------------------------------------------------------------------|
| Target population -- | Adult patients 18 years and older |
| Environment of Use-- | Home and sleep laboratories. |

1

Non-Confidential Summary of Safety and Effectiveness (continued) September 28,2006 :

Comparison to Predicate Devices:
AttributeTAP IIITOA
K972061TAP
K962516TAPII
K060388
Use
Intended as an intraoral deviceYesYesYesYes
Intended to reduce snoring or
Help alleviate snoringYesYesYesYes
Indicated for use with patients
with mild to moderate OSAYesYesYesYes
Indicated for single patient
Multi-useYesYesYesYes
Indicated for use at home or
Sleep laboratoriesYesYesYesYes
Design
Rigid tray piecesYesYesYesYes
Heat sensitive impermissible
Material for fitting to teethYesYesYesYes
Separate tray piecesYesYesYesYes
Custom fit for each patientYesYesYesYes
Works by holding lower jaw
ForwardYesYesYesYes
Can be adjusted or refitYesYesYesYes
Placed in patient mouth each
EveningYesYesYesYes
Comparison to Predicate Devices:
AttributeTAP IIITOA
K972061TAP
K972516TAP II
K060388
Design (continued)
Upper and lower tray unhook
For easy removal from mouthYesYesYesYes
Permits patient to talk and drink
With device in placeYesYesYesNo
Permits patient to breath
through mouthYesYesYesNo
Materials
Rigid tray materialYesYesYesYes
Heat sensitive impression
materialYesYesYesYes
Performance Testing
Non applicable under Section 514YesYesYesYes
Reduced AHI in patients72%72%72%72%
Differences Between Other Legally Marketed Predicate Devices

:

:

2

Non-Confidential Summary of Safety and Effectiveness (continued) September 28,2006

The difference between the intended device and predicates devices is the design of the base and hook. The TAP III base and hook is a smaller design. This difference does not have a significant effect on the safety or effectiveness of the device,

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the department's name encircling an emblem. The emblem features a stylized representation of three human profiles facing right, with flowing lines suggesting movement or connection. The text reads, "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA".

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 1 2 2006

Mr. Darren Henderson Quality Manager Airway Management, Incorporated 6116 North Central Expressway Suite 605 Dallas, Texas 75206

Re: K062951

Trade/Device Name: TAP III Anti-Snoring Device Regulation Number: 872.5570 Regulation Name: Intraoral Devices for Snoring and Intraoral Devices for Snoring And Obstructive Sleep Apnea Regulatory Class: II Product Code: LRK Dated: September 28, 2006 Received: September 29, 2006

Dear Mr. Henderson:

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.

4

Page 2 - Mr. Henderson

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.

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), 1 please contact the Office of Compliance at (240) 276-0115. 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/industry/support/index.html.

Sincerely yours,

Clive
Chin Lin, Ph.D.

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

K062951

CATIONS FOR USE

510(k) Number:(To be assigned)
Device Name:TAP III
Intended Use:To reduce or alleviate night time snoring and mild to moderate
obstructive sleep apnea (OSA).
Environment of use:Home and sleep laboratories
Disposable / Reusable:Single patient - multi - use

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use

.

:

or

(Per CFR 801.109)

: 上一篇:

Over-the-counter use__________________________________________________________________________________________________________________________________________________________

Susan Dunne

125 The First Court of Children 1984 233

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